Description

IDR Analyst

Position Overview

Anesthesia Dynamics Management is accepting applications from experienced IDR professionals to

support business needs related to Independent Dispute Resolution case preparation, tracking, and

out-of-network payment dispute resolution.

This role is responsible for managing IDR case activity, ensuring required documentation is

complete and timely, monitoring deadlines, and supporting appropriate reimbursement under federal

and applicable state dispute resolution processes.

The ideal candidate has hands-on experience with IDR, open negotiation, payer disputes,

underpayment review, or complex revenue cycle follow-up, and is comfortable working independently

in a deadline-driven environment.

Essential Duties and Responsibilities

• 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.

Required Qualifications

• 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.

Preferred Qualifications

• Experience with Independent Dispute Resolution, open negotiation, or No Surprises Act

processes.

• Experience with out-of-network reimbursement, arbitration, or high-dollar payer

disputes.

• Experience in anesthesia, radiology, pathology, emergency medicine, or hospital-based physician

services.

• Familiarity with CMS IDR guidance, federal IDR portals, state dispute processes, or

payer-specific dispute workflows.

• Strong Excel and reporting skills.

Work Environment

This is a remote position. Employees are expected to maintain a secure, professional, and

distraction-free work environment and comply with company standards related to confidentiality,

HIPAA, technology use, and information security.

Compensation and Benefits

Anesthesia Dynamics Management offers a competitive compensation and benefits package, including

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

subject to plan terms and eligibility requirements.

Equal Employment Opportunity

Anesthesia Dynamics Management is an equal opportunity employer. We consider qualified applicants

for employment without regard to race, color, religion, sex, pregnancy, national origin, age,

disability, genetic information, veteran status, or any other status protected by applicable

federal, state, or local law.

Skills

• IDR case preparation and tracking

• Open negotiation support

• Payer dispute resolution

• Claims and payment analysis

• EOB/ERA review

• Payer portal research

• Deadline management

• Documentation accuracy

• Excel and reporting

• HIPAA and confidentiality

Requirements