IDR Analyst (Federal and State)
Benefits
Unlimited PTO
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About the Role:
- Manage dispute cases through the arbitration process, ensuring claims are reviewed, submitted, and tracked accurately.
- Work closely with internal teams and external partners to ensure disputes meet regulatory guidelines.
- Develop deep expertise in healthcare reimbursement and regulatory processes.
Who You Are:
- 2–4 years of experience in revenue cycle operations, claims management, or reimbursement/insurance operations.
- Comfortable reading EOBs, claims, and reimbursement codes, and using Excel or Google Sheets to track cases.
- Strong attention to detail and ability to manage multiple deadlines with excellent communication.
Why You’ll Love Working Here:
- Competitive compensation, including equity, and full health, dental, and vision coverage.
- Retirement savings plan through 401(k) and flexible time off.
- Opportunities for company-wide connection and events.
Pivotal Health
Pivotal Health is a technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. We are a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers.