[Remote] Independent Dispute Resolution Specialist

Note: The job is a remote job and is open to candidates in USA. 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. 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 Skills • 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 • 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 Overview • nimble solutions is a revenue cycle management solutions for ASCs, surgical clinics, surgical hospitals, and anesthesia groups. It was founded in 2002, and is headquartered in St Louis, Missouri, USA, with a workforce of 1001-5000 employees. Its website is https://nimblercm.com. Apply tot his job Apply To this Job