Independent Dispute Resolution (IDR) Claims / OON Specialist

Job Summary :

• We are seeking an experienced and highly motivated Independent Dispute Resolution (IDR) Claims / OON Specialist to join our team.
• This role requires expertise in medical billing, collection, and appeals and a strong understanding of dispute resolution processes.
• The ideal candidate will be responsible for managing and resolving medical billing disputes efficiently and in compliance with regulatory requirements.
• The Independent Dispute Resolution (IDR) Claims / OON Representative needs to assist in managing claims disputes under the No Surprises Act.
• This position requires an in-depth understanding of healthcare billing, regulations, and dispute resolution processes, ensuring compliance with the No Surprises Act and protecting patients from surprise medical bills.
• As an IDR Representative, you will be responsible for managing disputes between healthcare providers and insurers, determining the appropriate payment amounts for out-of-network services, and working to resolve disputes efficiently and effectively.

This is a key role in helping ensure fair and transparent billing practices by federal regulations. Job Responsibilities / Duties :

Qualifications & Experience :

Using upper extremities to exert force to draw, drag, haul or tug objects in a sustained motion.