Independent Dispute Resolution Specialist jobs in United States
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nimble solutions · 13 hours ago

Independent Dispute Resolution Specialist

nimble solutions is a leading provider of revenue cycle management solutions for surgical organizations, focused on streamlining processes and improving financial outcomes. They are seeking an Independent Dispute Resolution Specialist to analyze healthcare claims and manage the IDR process, requiring strong analytical skills and effective communication for timely claim resolution.

BillingInformation TechnologySoftware
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Growth Opportunities

Responsibilities

Analyze healthcare claims to determine next steps, including negotiation or Independent Dispute Resolution (IDR)
Perform daily audits to identify zero-dollar payments, negative balances, or other discrepancies, demonstrating strong analytical skills and attention to detail
Resolve outstanding claim issues promptly, maintaining accurate records of all actions taken
Monitor and manage a busy inbox to ensure timely responses, proper routing of inquiries, and that no items are overlooked
Collaborate with team members to balance workloads and support the timely handling of negotiation and IDR processes
Maintain clear and organized documentation to support compliance and reporting needs
Contribute ideas to improve workflows, reduce manual tasks, and enhance overall efficiency

Qualification

Healthcare claims processingMedical billingAnalytical skillsOut-of-network billingMicrosoft ExcelCommunication skillsNegotiation skillsOrganizational abilities

Required

Prior experience in healthcare claims processing, medical billing, or related fields
Out-of-network billing with arbitration experience is helpful
Strong analytical skills with a high level of accuracy and attention to detail
Ability to manage multiple priorities and a high-volume workload
Ability to learn various software platforms and navigate
Excellent written and verbal communication skills
Proficiency in Microsoft Office applications, particularly Excel and Outlook

Preferred

Exceptional organizational and analytical abilities
Strong understanding of medical billing and coding as it relates to out-of-network claims
Excellent communication and negotiation skills

Company

nimble solutions

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nimble solutions is a revenue cycle management solutions for ASCs, surgical clinics, surgical hospitals, and anesthesia groups.

Funding

Current Stage
Late Stage

Leadership Team

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Lindsay Gross
Chief Operating Officer
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Colin Monasterio
Chief Strategy Officer
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Company data provided by crunchbase