Recourse Health
IDR Analyst
San Francisco, United States · Remote · Full-time · Posted Jul 29, 2026
- Experience
- 2 to 4 years in revenue cycle, claims operations, denials, appeals, or medical billing.
About the job
Own federal Independent Dispute Resolution (IDR) cases end to end and improve the workflows and AI tools used to manage them.
What you'll do
- Assess eligibility; prepare and submit disputes through the CMS portal; manage deadlines, documentation, offers, and supporting briefs.
- Handle payer and IDR-entity correspondence, track follow-ups, and verify that cases are resolved correctly.
- Identify recurring claims patterns and develop specifications, checklists, prompts, and workflow improvements with engineering.
What they ask for
- Experience reading EOBs, 835 remittance files, CPT codes, and claim adjustment reason codes.
- Hands-on fluency with AI tools, such as Claude or ChatGPT, used to accelerate or deliver real work.
- Ability to manage competing deadlines and communicate clearly in writing.
- Sound judgment, operational depth, and an ownership mindset.
Nice to have
- Direct experience with IDR, the No Surprises Act, arbitration, or out-of-network claims.
- Excel or Sheets at pivot-table level; SQL is a plus.
Tools
CMS portal, 835 remittance files, EOBs, CPT codes, Excel, Sheets, SQL, Claude
AI focus
Use AI tools to automate repetitive work and develop prompts and workflow improvements in partnership with engineering.
Model-written summary · the original posting is authoritative