Lead Analyst, Independent Dispute Resolution

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🔥 0 minutes ago

🏈 Alabama, Arizona, +17 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌪️ Kansas – Remote 🦞 Maine – Remote 🌶️ New Mexico – Remote 🌲 North Carolina – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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Knowtion Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2008

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Private Equity Round on 2020-09

Consulting • Insurance • Logistics

Knowtion Health is a company that assists hospitals in handling denied and complex claims, recovering low balance accounts, and providing defense against payer audits. By leveraging advanced technology and a team of experts, Knowtion Health aims to maximize revenue and improve patient experiences. Their services include addressing clinical denials and managing various challenging payer classes, positioning them as a strong advocate for their clients in the healthcare sector.

📋 Description

• Oversee end-to-end IDR workflow for assigned clients • Ensure 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 and state IDR requirements • Monitor and report operational KPIs, including acceptance rate, win/loss outcomes, and turnaround time • Manage advanced reconciliation tasks across payments, adjustments, and returned accounts • Collaborate with Analytics and Product teams to improve 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

🎯 Requirements

• 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 • 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 • Proven ability to manage multiple priorities • Valid government-issued photo ID required during screening and/or interviews • Applicants located in the following states are prioritized: AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, VA, WI, WV

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Life insurance • Short-term disability • Long-term disability • Paid holidays • 401(k) • Generous PTO policy • Remote work • Dedicated, distraction-free work space at home