Dispute Resolution Coordinator at Pivotal Health

, , United States -

Full Time

Start Date

Immediate

Expiry Date

20 Jun, 26

Salary

65000.0

Posted On

22 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Management, Deadline Tracking, Workflow Management, Attention To Detail, Process Documentation, Communication, Task Management, Data Entry, Case Tracking, Coordination, Process Improvement, Learning Agility

Industry

Wellness and Fitness Services

Description

About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role We’re looking for a Dispute Resolution Coordinator to support Pivotal’s healthcare dispute resolution workflows, including Independent Dispute Resolution (IDR) processes. In this role, you’ll help manage case submissions, track deadlines, and ensure disputes move through the process accurately across different state arbitration systems. Because each state operates under its own rules and timelines, this role requires strong attention to detail and the ability to manage structured operational workflows. You’ll work closely with internal teams and external partners to keep disputes moving forward while helping build repeatable processes as the program grows. This is a great opportunity for someone early in their career who enjoys organized, process-driven work and wants exposure to healthcare operations and reimbursement systems. What You’ll Do Support state IDR workflows: Manage dispute submissions, documentation, and case tracking across assigned states while ensuring deadlines and requirements are met. Monitor arbitration timelines and correspondence: Review inbound communications from health plans, arbitration entities, and internal teams to ensure cases progress through the process correctly. Maintain operational tracking and documentation: Update internal systems and spreadsheets to maintain accurate case records, dispute statuses, and operational metrics. Assist with dispute corrections and resubmissions: Identify submission errors or missing documentation and coordinate resubmissions to keep disputes moving forward. Support operational cleanup work: Assist with refunds, case reconciliation, and other repeatable tasks required to maintain accurate dispute records. Help establish repeatable workflows: As state processes evolve, contribute to documenting and improving internal workflows that help the team manage disputes more efficiently. Who You Are 1–3 years of professional experience in an operational, administrative, or healthcare-related environment Organized and highly detail-oriented, with the ability to follow structured processes Comfortable working in Excel or Google Sheets to track operational workflows Strong written communication skills when coordinating with internal teams and external partners Able to manage multiple tasks, deadlines, and case workflows simultaneously Dependable and consistent in executing repeatable operational processes Quick learner who is open to feedback and comfortable adapting as workflows evolve Extra Credit Experience Experience working in healthcare, insurance, revenue cycle management (RCM), or reimbursement operations Familiarity with arbitration, dispute resolution, regulatory, or compliance workflows Exposure to operational tools such as Asana, Metabase, or similar systems Why You’ll Love Working Here We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you. Benefits Include: Competitive compensation, including equity Full health, dental, and vision coverage Retirement savings plan through 401(k) Flexible time off Opportunities for company-wide connection and events Ready to Make an Impact? We’re building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.

Responsibilities

The coordinator will support state Independent Dispute Resolution (IDR) workflows by managing dispute submissions, tracking documentation, and monitoring arbitration timelines across assigned states to ensure compliance with rules and deadlines. This involves updating internal systems, coordinating corrections or resubmissions for errors, and assisting with operational cleanup tasks.