IDR Analyst

Job not on LinkedIn

🔥 8 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $70k - $85k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Recourse Health

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2 - 10 employees

🏥 Healthcare

☁️ SaaS

🤝 B2B

🔥 Funding within the last year

💰 Pre-Seed Round on 2026-01

Healthcare • SaaS • B2B

Recourse Health is a healthcare-focused company that automates and optimizes Independent Dispute Resolution (IDR) for medical claims. Recourse’s product, Remedy, reads remittance and claim data (837 and 835 files), screens for eligible disputes, builds evidence-based submissions, files with IDR agencies, captures outcomes and recoveries, and uses each result to improve future claim selection, ask strategy, and evidence. Remedy runs the full feedback loop from intake through collection, works alongside existing health system workflows, supports compliance (BAA, least-privilege access, encryption), and is paid on contingency from recoveries. The company targets hospitals and health systems and offers analytics like IDR report cards and benchmarks against CMS IDR data.

📋 Description

• Evaluate dispute eligibility against federal IDR requirements before filing • Own submissions through the CMS portal, including documentation, offer amounts, and supporting briefs • Monitor deadlines across active disputes and prevent procedural lapses • Handle correspondence with payers and IDR entities and track follow-ups to closure • Verify cases are resolved and catch premature or missed closures • Read 835 remittance files and EOBs to reconstruct payer actions and rationale • Convert recurring patterns into specifications, checklists, or prompts • Use AI tools to automate repetitive work and partner with engineering to make improvements permanent • Report to the Head of Operations and own the day-to-day running of IDR disputes

🎯 Requirements

• 2 to 4 years in revenue cycle, claims operations, denials, appeals, or medical billing • Comfortable reading EOBs, 835 remittance files, CPT codes, and claim adjustment reason codes • Hands-on fluency with AI tooling (Claude, ChatGPT, or similar), used to ship or accelerate real work • Comfort with data and analytical tools, including Excel or Sheets at pivot-table level; SQL is a plus • Clear written communication • Ability to manage competing deadlines without dropping any • Preference for small teams and early-stage chaos over mature org charts • Sound judgment, operational depth, and ownership mindset • Direct experience with Independent Dispute Resolution, the No Surprises Act, arbitration, or out-of-network claims is a strong plus, not required

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