Role Description

We are seeking a highly organized and detail-oriented Administrative Assistant to support our Independent Dispute Resolution (IDR) operations under the No Surprises Act. This role plays a critical part in ensuring disputes are prepared accurately, submitted timely, and managed in compliance with federal regulatory requirements.

The ideal candidate thrives in a deadline-driven environment, is comfortable navigating multiple technology platforms, and has strong administrative and documentation management skills.

Key Responsibilities

• IDRE Administrative Support
  • Manage administrative responsibilities for IDRE, including data entry, report generation, and case documentation management
  • Download and upload dispute documentation between portals and internal systems
  • Assist with dispute preparation for arbitration, ensuring completeness and accuracy
  • Process disputes for eligibility as required
  • Develop and maintain tracking spreadsheets and program templates
• Case Tracking & Coordination
  • Work closely with the Federal IDRE team to track deadlines, case statuses, and required submissions throughout the dispute life cycle
  • Update databases and spreadsheets with case information and documentation details
  • Organize and maintain electronic case files and folder structures
  • Coordinate with internal teams (Finance, Operations, etc.) to ensure timely dispute processing
  • Assist with scheduling internal and external meetings
• Communication & Customer Support
  • Monitor and respond to internal and external email and phone inquiries
  • Provide updates on case and payment status
  • Route inquiries to appropriate team members in a timely manner
  • Support the team in meeting daily processing targets
• Compliance & Confidentiality
  • Ensure adherence to all Company policies and procedures
  • Maintain compliance with HIPAA, FISMA, URAC, CMS, FAR, and other applicable regulations
  • Handle confidential and sensitive information with the highest level of professionalism

Qualifications

• Associate’s degree or equivalent combination of education and experience required
• Minimum two (2) years of administrative support experience required
• Experience reviewing medical claims, remittance advice, or Explanation of Benefits (EOBs) strongly preferred
• Familiarity with healthcare billing, reimbursement, or payer-provider processes preferred

Requirements

• Experience with complex technology systems (e.g., Salesforce, SharePoint, third-party portals)
• Proficiency in Microsoft Excel, Word, Outlook, and OneNote
• Experience with document management systems (SharePoint preferred)
• Comfortable electronically signing and managing PDF documents (e.g., Foxit or similar tools)
• Visio experience a plus

Core Competencies

• Strong attention to detail and accuracy
• Ability to manage multiple deadlines and stay on task
• Strong organizational and time management skills
• Ability to work independently with minimal supervision
• Excellent written and verbal communication skills

Remote Work Requirements

• Reliable high-speed internet connection
• Professional, distraction-free home workspace
• Comfortable using virtual communication tools (Teams, email, chat)
• Ability to securely manage electronic documents and digital signatures
• Proficiency navigating multiple cloud-based systems and third-party platforms

Benefits

• 100% remote work flexibility
• Work/life balance
• Professional development and continuing education opportunities
• Medical, dental, vision, life insurance
• Short- and long-term disability
• Generous 401(k) match

EOE/VET/Disability

*Must be able to work M-F normal business hours in EST.