Payment Determinations Coordinator

Job Summary

To support Federal and State Independent Dispute Resolution Entity (IDRE) programs under the No Surprises Act, the full-time remote Payment Determinations Coordinator will manage dispute cases, coordinate payment determination activities, and ensure compliance with CMS requirements while collaborating with various stakeholders.

Key Responsibilities

• Coordinate dispute cases from intake through final resolution, ensuring accuracy and compliance
• Monitor case status, deadlines, and outstanding activities to ensure timely resolution
• Develop and maintain standard operating procedures and training materials related to IDRE workflows

Required Qualifications

• Bachelor's degree in a healthcare-related field or equivalent relevant experience
• At least five years of project support experience in a corporate or professional environment
• Knowledge of the Federal No Surprises Act
• Strong organizational, project management, and time management skills
• Proficiency with Microsoft Office applications and web-based portals