IDR Revenue Cycle Manager – Paralegal/Lawyer

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Auctus Group

WebsiteLinkedInAll Job Openings

11 - 50 employees

Auctus Group is a company whose public website is currently displaying PHP/WordPress runtime deprecation and header errors. The page output shows deprecated return-type notices from the All-in-One WP Migration plugin and warnings about headers already sent, indicating the site is running incompatible plugin/PHP versions and preventing normal site content from loading. Because the site content is obscured by these technical errors, no clear business details could be determined from the page; resolving the PHP/plugin compatibility issues or contacting the site administrator is needed to reveal the company's services or industry.

📋 Description

• Responsible for managing the strategy, documentation, procedural compliance, and financial performance of out-of-network claims that may qualify for open negotiation and Independent Dispute Resolution (IDR). • Oversees the full lifecycle of eligible disputes, including claim and document review, eligibility assessment, deadline tracking, open negotiation, IDR initiation, offer development, preparation of supporting arguments and evidence, determination review, and payment reconciliation. • Serves as the primary strategic partner for assigned clients and collaborates closely with several departments. • Develops and manages monthly IDR and out-of-network dispute strategy for each assigned client. • Reviews claims, correspondence, payment records, remittance information, contracts, and clinical documentation to determine potential dispute eligibility. • Prepares clear, accurate, organized, and persuasive IDR submissions while maintaining complete, accurate, confidential, and audit-ready documentation for every dispute.

🎯 Requirements

• Minimum of three years of experience working as a paralegal, attorney, legal analyst, claims professional, legal operations specialist, regulatory specialist, or in a similar dispute-focused position. • Experience managing legal, administrative, insurance, healthcare, reimbursement, or financial disputes is strongly preferred. • Demonstrated experience reviewing complex records and preparing written arguments, case summaries, demand letters, submissions, or similar documents. • Experience managing case files, evidence, correspondence, and strict procedural deadlines. • Experience conducting legal, regulatory, or procedural research. • Experience communicating with clients, opposing parties, insurance companies, government agencies, or other external stakeholders. • Experience evaluating settlement positions, financial exposure, or dispute outcomes is preferred.

🏖️ Benefits

• Continuing education support • Charitable donation matching • Remote happy hours • Book club