Patient Accounts Analyst I - Independent Dispute Resolution (IDR)

Job Summary

The Patient Accounts Analyst - Independent Dispute Resolution (IDR) is responsible for managing all aspects of the revenue cycle for assigned clinic locations, ensuring timely and accurate resolution of system edits, insurance denials, and patient billing issues. This role serves as a subject matter expert in billing and revenue cycle transactions, working closely with clinic staff and corporate teams to optimize financial performance. The Patient Accounts Analyst - IDR also tracks, reviews, and reports on billing metrics and trends, providing insights to improve revenue cycle processes.

As a Patient Accounts Analyst - IDR at Community Health Systems (CHS) - Physician Practice Support Inc. (PPSI), you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, flexible scheduling, and 401k.

Essential Functions

Reviews workflow dashboards and accounts receivable (AR) aging reports to identify trends in key financial performance indicators (KPIs) affecting clinic revenue cycle outcomes.

File and manage Federal Independent Dispute Resolution (IDR) submissions in accordance with the No Surprises Act.

Compile and organize documentation, including Explanation of Benefits (EOBs), medical records, and provider contracts to support IDR filings.

Researches and resolves billing delays, insurance denials, and payment discrepancies, ensuring timely submission and payment of accounts.

Performs root cause analysis to identify recurring issues in billing workflows and collaborates with clinic personnel to prevent reoccurrence.

Processes account adjustments in accordance with PPS / CHS policies and compliance regulations.

Provides training and education to clinic personnel on billing policies, system workflows, and best practices for revenue cycle efficiency.

Documents all communication, training sessions, and issue resolutions between clinic staff, corporate personnel, and revenue cycle teams to maintain accurate records.

Maintains current knowledge of federal and state billing regulations, ensuring compliance with payer guidelines and revenue cycle best practices.

Identifies and escalates complex issues outside standard workflows, ensuring timely resolution through the appropriate leadership channels.

Performs other duties as assigned.

Maintains regular and reliable attendance.

Complies with all policies and standards.

Qualifications

H.S. Diploma or GED required

Associate Degree or higher in Healthcare Administration, Business, Accounting, or a related field preferred

1-2 years of experience in medical billing, patient accounts, insurance claims processing, or revenue cycle operations required

Experience with Federal Independent Dispute Resolution (IDR) processes strongly preferred

Knowledge and experience with No Surprises Act strongly preferred

Experience working with Athena, Epic, or other practice management systems preferred

Knowledge, Skills and Abilities

Strong understanding of medical billing processes, revenue cycle workflows, and payer reimbursement policies.

Proficiency in Athena, Microsoft Excel, and other billing / accounting systems.

Ability to analyze and interpret revenue cycle data, identifying trends and process improvement opportunities.

Excellent communication and interpersonal skills, with the ability to train and support clinic personnel.

Strong problem-solving and critical-thinking skills, with the ability to research and resolve complex patient account issues.

Ability to work independently while maintaining a collaborative approach to revenue cycle optimization.

We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.

The PPSI Team and Athena work alongside the Clinic Leaders and staff with the common goal of creating a clean and efficient revenue cycle.

Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

Equal Employment Opportunity

This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to : hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.