IDR Revenue Cycle Manager – Paralegal/Lawyer
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
IDR Revenue Cycle Manager for the Auctus Group overseeing out-of-network claims and facilitating IDR processes. Collaborates with clients and departmental teams to optimize dispute management effectiveness.
Responsibilities:
- Responsible for managing the strategy, documentation, procedural compliance, and financial performance of out-of-network claims that may qualify for open negotiation and Independent Dispute Resolution (IDR).
- Oversees the full lifecycle of eligible disputes, including claim and document review, eligibility assessment, deadline tracking, open negotiation, IDR initiation, offer development, preparation of supporting arguments and evidence, determination review, and payment reconciliation.
- Serves as the primary strategic partner for assigned clients and collaborates closely with several departments.
- Develops and manages monthly IDR and out-of-network dispute strategy for each assigned client.
- Reviews claims, correspondence, payment records, remittance information, contracts, and clinical documentation to determine potential dispute eligibility.
- Prepares clear, accurate, organized, and persuasive IDR submissions while maintaining complete, accurate, confidential, and audit-ready documentation for every dispute.
Requirements:
- Minimum of three years of experience working as a paralegal, attorney, legal analyst, claims professional, legal operations specialist, regulatory specialist, or in a similar dispute-focused position.
- Experience managing legal, administrative, insurance, healthcare, reimbursement, or financial disputes is strongly preferred.
- Demonstrated experience reviewing complex records and preparing written arguments, case summaries, demand letters, submissions, or similar documents.
- Experience managing case files, evidence, correspondence, and strict procedural deadlines.
- Experience conducting legal, regulatory, or procedural research.
- Experience communicating with clients, opposing parties, insurance companies, government agencies, or other external stakeholders.
- Experience evaluating settlement positions, financial exposure, or dispute outcomes is preferred.
Benefits:
- Continuing education support
- Charitable donation matching
- Remote happy hours
- Book club
Similar Jobs
Billing Operations, Revenue Systems
Billing Operations Specialist at Bonusly managing subscription billing and revenue operations. Handling Chargebee and Stripe administration while ensuring customer satisfaction.
Senior Product Manager – Revenue Intelligence
Senior Product Manager at Clari + Salesloft overseeing product strategy and execution of predictive revenue system. Collaborating with cross-functional teams to deliver AI-generated insights and improve revenue operations.
TikTok Shop Revenue Operator, Creator & Affiliate Manager
Revenue Operator for TikTok Shop driving creator/affiliate revenue through outreach and content management. Managing relationships, optimizing performance, and supporting additional marketplaces.
Revenue Systems Administrator
Revenue Systems Administrator managing Salesforce and AI tools for Sezzle's Revenue Operations team. Collaborating cross-functionally to improve data flow and system architecture.
Revenue Systems Administrator
Revenue Systems Administrator focusing on Salesforce management and AI tool integration at Sezzle. Driving team efficiencies and ensuring data integrity for Revenue Operations.
Senior Manager, Revenue Operations
Senior Manager of Revenue Operations leading strategic initiatives for SMB go-to-market teams at ZipRecruiter. Driving revenue growth through efficient operational processes and team leadership.
Senior Revenue Operations Manager
Senior Revenue Operations Manager responsible for HubSpot administration and ensuring revenue team efficiency. Help Certn scale its global revenue organization through data-driven decisions and process improvements.
Revenue Operations Manager
Manager of Revenue Operations at Balto, building and optimizing revenue processes. Collaborating with sales and marketing to ensure operational efficiency and data integrity.
Senior Revenue Operations Business Partner
Senior Revenue Operations Business Partner at Haemonetics driving operational excellence and scalable processes. Leveraging knowledge of revenue operations and CRM systems to support sales productivity.
Manager, Sales and Revenue Operations
Manager of Revenue Operations at On Location, handling sales operations and analytics across sports and entertainment. Responsible for KPI frameworks, reporting suites, and data integrity management.
Revenue Operations Analyst, GTM – Central Planning
Revenue Operations Analyst responsible for GTM execution, territory design, and quota planning at KnowBe4. Analyzing complex data to support Sales and Finance initiatives.
Revenue Strategy & Planning Manager
Revenue Strategy & Planning Manager at Algolia focusing on revenue growth through forecasting and insights. Leading revenue performance reporting and operational support for revenue leadership teams.
Revenue Cycle Manager
Revenue Cycle Manager leading insurance verification and claims for multi-market DSO. Building and scaling revenue cycle operations across various markets.
Revenue Manager
Revenue Manager at Porch Group leading revenue accounting and ensuring compliance across insurance and software businesses. Collaborating with cross-functional teams in a high-growth environment.
Senior Manager, Revenue Operations, Training
Senior Manager, Revenue Operations overseeing training and customer onboarding at a dental tech startup. Driving revenue efficiency and supporting international expansion initiatives.
Director, Revenue Operations
Director of Revenue Operations leading strategic growth and sales efficiency for Dandy's global dental practice technology. Collaborating with teams to drive predictable revenue and performance visibility.
Director, Revenue Operations
Director of Revenue Operations at Dandy overseeing revenue strategies and visibility in the dental industry. Leading a team to optimize customer growth while providing actionable insights into performance metrics.
Director, Revenue Operations
Director, Revenue Operations at Dandy, optimizing customer growth and sales efficiency through actionable insights and collaboration.
Senior Product Manager, Revenue – Meter Data Management
Senior Product Manager for Gigawatt’s Revenue team focusing on an AI-driven meter-to-cash platform. Responsibilities include managing meter data processes and collaborating across teams on product features.
Facility Revenue Manager, Ambulatory Surgery Centers
Revenue Manager for Patient Revenue Management Organization overseeing charge capture and coding processes. Leading reporting and staff performance monitoring efforts in a healthcare setting.