IDR Analyst

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🔥 31 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Anesthesia Dynamics

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2018

🏥 Healthcare

🤝 B2B

💼 Consulting

Healthcare • B2B • Consulting

Anesthesia Dynamics is a national anesthesia company comprised of anesthesiologists and Certified Registered Nurse Anesthetists (CRNAs) that provides anesthesia care and anesthesia management services across clinical settings. The company partners with hospitals, ambulatory surgery centers (ASCs), and anesthesia groups to deliver credentialing, medical director and clinical oversight, staffing and placement of providers, revenue cycle management (RCM) and billing, administrative and financial services, and consulting to optimize operational efficiency and profitability. Anesthesia Dynamics emphasizes customization, clinical and financial expertise, data-driven reporting, payor accountability, and strategic alliances to increase collected revenue and support anesthesia practices without forfeiting local control.

📋 Description

• Review claims and payment disputes for IDR or other dispute resolution eligibility. • Prepare and submit IDR case documentation in accordance with applicable requirements. • Track case status, deadlines, determinations, and outcomes. • Review EOBs, ERAs, payer correspondence, claim history, and supporting documentation. • Identify missing information, processing issues, and barriers to case resolution. • Maintain accurate case records and reimbursement impact tracking. • Monitor IDR, No Surprises Act, CMS, and payer-related process updates. • Support reporting on IDR volume, outcomes, trends, and recovery opportunities. • Collaborate with AR, billing, denial management, contracting, and operations teams as needed. • Escalate complex or high-risk matters appropriately.

🎯 Requirements

• Experience in healthcare revenue cycle, claims follow-up, denial management, payer disputes, reimbursement, or underpayment review. • Working knowledge of EOBs/ERAs, payer portals, claim status research, and payment review. • Strong attention to detail and ability to manage multiple deadlines. • Strong written communication and documentation skills. • Ability to work independently in a remote environment. • Experience with Independent Dispute Resolution, open negotiation, or No Surprises Act processes (preferred). • Experience with out-of-network reimbursement, arbitration, or high-dollar payer disputes (preferred). • Experience in anesthesia, radiology, pathology, emergency medicine, or hospital-based physician services (preferred). • Familiarity with CMS IDR guidance, federal IDR portals, state dispute processes, or payer-specific dispute workflows (preferred). • Strong Excel and reporting skills (preferred).

🏖️ Benefits

• health benefits • retirement plan options • paid time off • additional company-sponsored benefits