IDR Resolution Specialist

Job Summary

A company is looking for an IDR Resolution Specialist.

Key Responsibilities:

• Independently manage a caseload and prepare appeal packets for external review
• Ensure timely and compliant resolutions in accordance with state and federal regulations
• Serve as a point of contact with regulators and providers to handle requests accurately and timely

Required Qualifications:

• HS Diploma or GED from an accredited institution
• Experience in claims, customer service, or healthcare settings
• Ability to work under pressure and meet tight deadlines
• Organized and detail-oriented
• Collaborative mindset