Patient Accounts Analyst I - Independent Dispute Resolution (IDR) - Remote

Job Summary

The Patient Accounts Analyst - Independent Dispute Resolution (IDR) is responsible for managing all aspects of the revenue cycle for assigned clinic locations, ensuring timely and accurate resolution of system edits, insurance denials, and patient billing issues. This role serves as a subject matter expert in billing and revenue cycle transactions, working closely with clinic staff and corporate teams to optimize financial performance. The Patient Accounts Analyst - IDR also tracks, reviews, and reports on billing metrics and trends, providing insights to improve revenue cycle processes.

As a Patient Accounts Analyst - IDR at Community Health Systems (CHS) - Physician Practice Support Inc. (PPSI), you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, flexible scheduling, and 401k.

Essential Functions

• Reviews workflow dashboards and accounts receivable (AR) aging reports to identify trends in key financial performance indicators (KPIs) affecting clinic revenue cycle outcomes.
• File and manage Federal Independent Dispute Resolution (IDR) submissions in accordance with the No Surprises Act.
• Compile and organize documentation, including Explanation of Benefits (EOBs), medical records, and provider contracts to support IDR filings.
• Researches and resolves billing delays, insurance denials, and payment discrepancies, ensuring timely submission and payment of accounts.
• Performs root cause analysis to identify recurring issues in billing workflows and collaborates with clinic personnel to prevent reoccurrence.
• Processes account adjustments in accordance with PPS/CHS policies and compliance regulations.
• Provides training and education to clinic personnel on billing policies, system workflows, and best practices for revenue cycle efficiency.
• Documents all communication, training sessions, and issue resolutions between clinic staff, corporate personnel, and revenue cycle teams to maintain accurate records.
• Maintains current knowledge of federal and state billing regulations, ensuring compliance with payer guidelines and revenue cycle best practices.
• Identifies and escalates complex issues outside standard workflows, ensuring timely resolution through the appropriate leadership channels.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• H.S. Diploma or GED required
• Associate Degree or higher in Healthcare Administration, Business, Accounting, or a related field preferred
• 1-2 years of experience in medical billing, patient accounts, insurance claims processing, or revenue cycle operations required
• Experience with Federal Independent Dispute Resolution (IDR) processes strongly preferred
• Knowledge and experience with No Surprises Act strongly preferred
• Experience working with Athena, Epic, or other practice management systems preferred

Knowledge, Skills and Abilities

• Strong understanding of medical billing processes, revenue cycle workflows, and payer reimbursement policies.
• Proficiency in Athena, Microsoft Excel, and other billing/accounting systems.
• Ability t