IDR Filing Specialist

About the role

This role is for an IDR Filing Specialist who will review out-of-network claims, prepare and submit No Surprises Act IDR filings, track deadlines, identify issues, and partner with the founding team.

Responsibilities

• Review out-of-network claims, EOBs, remits, payer responses, and supporting documentation to determine IDR readiness
• Prepare and submit No Surprises Act IDR filings through the appropriate portals
• Track deadlines across open negotiation, initiation, batching, offer submission, and payment follow-up
• Identify claim issues, missing documentation, payer inconsistencies, and filing risks before they become problems
• Work with Clearest’s platform to manage dispute workflows, case statuses, and required documentation
• Help improve our IDR filing playbooks as we scale from manual expertise to tech-enabled operations
• Partner closely with the founding team on a fast-moving, high-impact part of the business

Requirements

• Experience with No Surprises Act IDR, out-of-network claims, payer disputes, appeals, or healthcare revenue cycle
• Familiarity with EOBs, remittance advice, CPT codes, payer underpayments, and claim documentation
• Strong attention to detail and comfort managing deadlines
• Ability to work independently in a remote, fast-paced startup environment
• Comfort using software tools, portals, spreadsheets, and workflow systems
• Clear written communication and organized documentation habits
• Direct experience filing NSA IDR disputes
• Experience with CMS IDR portals, payer negotiations, batching, or arbitration documentation
• Background in emergency medicine, anesthesia, radiology, surgery, or other OON-heavy specialties
• Experience at an IDR vendor, billing company, RCM firm, provider group, or payer dispute team

Qualifications

Must have experience working in IDR, out-of-network billing, payer disputes, appeals, collections, or revenue cycle operations.

Skills

• Experience with No Surprises Act IDR
• Familiarity with EOBs, remittance advice, CPT codes, payer underpayments, and claim documentation
• Strong attention to detail and ability to manage deadlines
• Comfort using software tools, portals, spreadsheets, and workflow systems
• Clear written communication and organized documentation habits
• Direct experience filing NSA IDR disputes
• Experience with CMS IDR portals, payer negotiations, batching, or arbitration documentation
• Background in emergency medicine, anesthesia, radiology, surgery, or other OON-heavy specialties
• Experience at an IDR vendor, billing company, RCM firm, provider group, or payer dispute team

Benefits

N/A

Pay

$45K - $65K

Schedule

Full-time