Revenue Cycle IDR Analyst

Are you seeking an exciting opportunity to join a passionate, growing, and dynamic team of professionals who support patients?

The IDR Analyst serves as a subject matter expert responsible for managing a specific client’s Out of Network inventory, leveraging strong project management and revenue cycle skills to identify trends and patterns that support the strategic submission of IDR disputes aimed at maximizing reimbursement for Knowtion Health.

What’s Attractive to the Right Candidate?

• Knowtion Health is a growing firm in a growing industry. Our status as a leader in this industry means that we have the resources to invest in the business and to innovate.
• Our business is intensely competitive and is constantly evolving. We quickly identify new challenges and develop solutions, so you won’t simply be doing what was done last year. Our new employees are frequently pleased and surprised by how quickly we make decisions and adapt to market conditions.
• Knowtion Health culture is inviting and competitive, embracing challenge and celebrating accomplishment; dedicated colleagues striving to provide quality results that have lasting impact.

• Submit Open Negotiation letters and IDR Disputes for federal and state processes
• Analyze insurance cards and EOBs to determine if a claim is Self Funded or Fully Funded
• Run reports to identify trends and patterns within claims inventory to drive workflow including any bulk account actions that can be applied to the inventory (Example: non-viable IDR submissions)
• Manage relationships with Out of Network payers to establish a claim settlement process where applicable
• Analyze data to identify areas for improvement within inventory for billing, claim reimbursement, and follow-up processes
• Validate analytics using data from client systems
• Review insurance companies’ payment patterns and denials to identify any trends and irregularities.
• Reconcile inventory including payments, adjustments and returned accounts as needed
• Present IDR findings in a clear and concise manner to clients and internal stakeholders
• Work closely with product management and implementation teams regarding any new operational analytic enhancements which may be needed for one or many clients.