NSA Specialist - Independent Dispute Resolution

Why you’ll want to work at nimble! 

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! 

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 that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.

We are currently seeking an Independent Dispute Resolution Specialist (NSA Specialist) to provide support to the Federal No Surprise Act Department. This position will play a crucial role in providing support to the department by analyzing healthcare claims and managing the IDR process. It requires strong analytical skills, meticulous attention to detail, and effective communication to ensure timely and accurate claim resolution. 

Key Responsibilities:

• Analyze healthcare claims to determine next steps, including negotiation or Independent Dispute Resolution (IDR)
• Perform daily audits to identify zero-dollar payments, negative balances, or other discrepancies, demonstrating strong analytical skills and attention to detail
• Resolve outstanding claim issues promptly, maintaining accurate records of all actions taken
• Monitor and manage a busy inbox to ensure timely responses, proper routing of inquiries, and that no items are overlooked
• Collaborate with team members to balance workloads and support the timely handling of negotiation and IDR processes
• Maintain clear and organized documentation to support compliance and reporting needs
• Contribute ideas to improve workflows, reduce manual tasks, and enhance overall efficiency

• Analyze healthcare claims to determine next steps, including negotiation or Independent Dispute Resolution (IDR)
• Perform daily audits to identify zero-dollar payments, negative balances, or other discrepancies, demonstrating strong analytical skills and attention to detail
• Resolve outstanding claim issues promptly, maintaining accurate records of all actions taken
• Monitor and manage a busy inbox to ensure timely responses, proper routing of inquiries, and that no items are overlooked.
• Collaborate with team members to balance workloads and support the timely handling of negotiation and IDR processes
• Maintain clear and organized documentation to support compliance and reporting needs
• Contribute ideas to improve workflows, reduce manual tasks, and enhance overall efficiency

Skills:

• Exceptional organizational and analytical abilities
• Strong understanding of medical billing and coding as it relates to out-of-network claims
• Excellent communication and negotiation skills