Remote Senior IDR Analyst & No Surprises Act Lead

Knowtion Health; United States; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Life insurance

Short-term disability

Long-term disability

Paid holidays

401k

Generous PTO policy

Job summary

Knowtion Health is seeking an experienced IDR Lead Analyst to provide senior analytics, quality assurance, and mentorship for IDR dispute submissions under No Surprises Act guidelines. You will partner with the IDR Manager to identify workflow gaps, optimize processes, and drive data-informed improvements across client portfolios.

The role oversees end-to-end IDR operations, handles complex eligibility reviews, and ensures accuracy and timely submissions while monitoring KPIs.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, or related field (or equivalent experience).
• 5+ years of experience in healthcare revenue cycle management or payer disputes, with at least 2+ years in IDR or OON operations.
• Deep understanding of No Surprises Act requirements, payer submission protocols, and arbitration processes.
• Advanced proficiency in Excel and healthcare data systems (Epic, Athena, etc.).
• Strong analytical, organizational, and communication skills with proven ability to manage multiple priorities.

Responsibilities

• Oversee end-to-end IDR workflow for assigned clients, ensuring accuracy, timeliness, and compliance in all submissions.
• Serve as escalation point for complex eligibility reviews, payer communications, and arbitration documentation.
• Audit and validate analyst submissions for accuracy and adherence to federal/state IDR requirements.
• Monitor and report on operational KPIs (acceptance rate, win/loss outcomes, turnaround time).
• Manage advanced reconciliation tasks across payments, adjustments, and returned accounts.
• Collaborate with Analytics and Product teams to enhance reporting, workflow automation, and data validation.
• Identify trends in payer behavior, eligibility, and outcomes to inform team strategy and improve win rates.
• Mentor and coach IDR Analysts on complex cases, technical accuracy, and prioritization.
• Act as a bridge between analysts and management for operational questions, best practices, and feedback.

Skills

Analytical skills

Organizational skills

Communication skills

Multitasking

Education

Bachelor's degree in Healthcare Administration, Business, or related field

Tools

Excel

Epic

Athena

Job description

Knowtion Health is seeking an experienced IDR Lead Analyst to provide senior analytics, quality assurance, and mentorship for IDR dispute submissions under No Surprises Act guidelines. You will partner with the IDR Manager to identify workflow gaps, optimize processes, and drive data-informed improvements across client portfolios.

The role oversees end-to-end IDR operations, handles complex eligibility reviews, and ensures accuracy and timely submissions while monitoring KPIs.