NSA Closure Specialist

Job Type Full-time Description Why you’ll want to work at nimble! Looking for a seat at the table? This is a great opportunity to join a well-established and market-leading brand serving a high growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high growth mode through acquisition with a laser focus on positive culture building. As an Implementation Manager, you’ll have the opportunity to work as part of an experienced and agile team of RCM professionals and with cross functional partners, with significant runway to define what success and the future of Implementation at nimble looks like. Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations who trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle. The NSA Closure Specialist is responsible for monitoring and analyzing IDRE selections, payer void requests, and post-determination activities associated with the Federal Independent Dispute Resolution (IDR) process. This role evaluates payer and IDRE trends, develops data-driven IDRE selection recommendations, manages responses to post-determination inquiries, and tracks selection outcomes to improve future decision-making. The position also supports the development of SOPs, reporting, and client-facing deliverables that create repeatable and scalable processes while identifying opportunities to enhance operational capabilities, reporting, and overall dispute resolution performance. Monitoring and Analysis: Monitor IDRE selections and track IDRE selection outcomesReview the IDRE selections inbox to identify trends and recurring issuesReview IDR and selection reports and surface findings Maintain and analyze payer-specific and IDRE-specific performance metricsIdentify emerging payer objection trends and recommend proactive mitigation strategies Payer Void Requests: Analyze payer void requests made after a determinationDraft and submit well-supported responses to payer inquiries Escalate novel or high-risk requests per defined thresholdsHelp develop the SOP for void request responses and escalationsMaintain the void request management folder Selections and Recommendations: Recommend IDRE selections based on company data, with documented rationaleUse selection outcomes to refine future recommendationsMaintain documentation supporting IDRE selection methodologies and recommendationsAssist in the development and refinement of IDRE selection criteria based on historical outcomes and available data Gap Identification: Identify gaps in selection capabilities and reporting, from both a company and client standpointDocument findings and propose improvements Communication, Data, and Compliance: Communicate with payers and IDREs on routine selection and void mattersRun data quality checks on selection outcome dataEvaluate current workflows, reporting capabilities, and escalation pathways for operational inefficienciesCollaborate with leadership to develop solutions for identified process or reporting gaps Reporting: Develop client-facing reports and produce them on a recurring scheduleMonitor client input on reporting needs and turn into report requirementsRun KPI reports and develop trend summariesReport trends and outcomes to leadership as needed Requirements 2 years prior experience in healthcare claims processing, medical billing, or related fields2 years prior experience in a firm that is directly involved in the NSA IDR process Strong working knowledge of Federal No Surprise Act Strong analytical skills with a high level of accuracy and attention to detailAbility to manage multiple priorities and a high-volume workloadAbility to learn various software platforms and navigateExcellent written and verbal communication skillsProficiency in Microsoft Office applications, particularly Excel and Outlook Skills: High attention to detail and accuracy in data entry.Strong organizational and communication skills.Ability to meet daily productivity targets in a fast-paced, remote, or production-based environmentWorking knowledge of HIPAA and healthcare data privacy standards Work Environment Remote, depending on client requirementsFast-paced, metric-driven production environmentRequires extended periods of computer use and data entry