Payer Dispute RCM Strategist (Remote) at ACCESS TELECARE

Dallas, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Feb, 26

Salary

0.0

Posted On

06 Nov, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Independent Dispute Resolution, Claims Resolution, Denial Management, Analytical Skills, Communication Skills, Healthcare Billing, Negotiation Skills, Project Management, Data Analysis, Payer Relations, HIPAA Compliance, Time Management, Organizational Skills, Conflict Resolution, Cross-Functional Collaboration

Industry

Hospitals and Health Care

Description

OWN IDR STRATEGY AND PROGRAM IN TELEMEDICINE | FULLY REMOTE At Access TeleCare, we’re redefining how hospitals and health systems deliver care. As the nation’s largest provider of telemedicine solutions, our platform — Telemed IQ — brings specialty care to patients wherever they are, improving outcomes while optimizing operational efficiency. We’re seeking a dynamic and experienced Payer Dispute Revenue Cycle Management (RCM) Strategist building and leading Access TeleCare’s Independent Dispute Resolution (IDR) program under the No Surprises Act (NSA). THE OPPORTUNITY Reporting to the Vice President of Analytics and Strategic Initiatives, Payer Dispute Revenue Cycle Management (RCM) Strategist is responsible for building and leading Access TeleCare’s Independent Dispute Resolution (IDR) program under the No Surprises Act (NSA). This position oversees the end-to-end management of payer disputes, ensuring compliance with federal and state regulations, and driving process improvement initiatives that enhance accuracy, efficiency, and financial outcomes. The Payer Dispute RCM Strategist role has a high degree of visibility across the organization and will work in close collaboration with operational, legal, and finance leadership, and is highly visible across the organization. The Payer Dispute RCM Strategist manages both in-house and vendor-based components of the arbitration process, ensures compliance with federal and state regulations, identifies opportunities to improve processes, and facilitates effective claims processing. WHAT YOU’LL DO • Build and own the Independent Dispute Resolution program from start to finish, from managing disputes and vendors to shaping reporting, process, and strategy • Act as the face of this initiative with executive leadership, regularly communicating updates and insights • Dig deep into disputed claims, analyzing data to spot trends, uncovering opportunities, and proactively translating findings into revenue cycle management actions that improve out of network commercial claim processing and denials management • Coordinate across a variety of interdependent functions that support RCM processes, including analytics, auditing, technology, and payer enrollment • Maintain up-to-date knowledge of payer guidelines, state/federal regulations, and industry standards to ensure accurate documentation and compliance with all requirements throughout program • Collaborate and communicate with payers during the arbitration process to reach a mutually beneficial resolution where possible and support continually improving payer relations • Monitor outcomes, track performance, and connect the dots between process improvements and financial impact throughout arbitration and resolution processes • Oversee & support vendors and third parties responsible for coordinating arbitration steps, involving day-to-day relationship management and data analysis • Develop the long-term strategy for our payer dispute process beyond the end-to-end process steps of the IDR program to expand into a more holistic organizational strategy • Other duties as assigned WHAT YOU’LL BRING • Bachelor’s degree preferred (Healthcare Administration, Business, or related field) • 5+ years in RCM, IDR, claims resolution, denial management, or related healthcare finance • 2+ years consulting experience, requiring problem-solving and executive communication • CRCS or CPB certification preferred • Experience with IDR under the NSA preferred • Strong analytical skills (Advanced Excel, datasets, Tableau) • Excellent communication skills, comfortable presenting to leadership • Knowledge of healthcare billing, coding, and payer requirements • High attention to detail and organizational strength • Negotiation and conflict-resolution skills • Ability to interpret and apply payer policies and regulatory standards • Time management skills for high-volume workloads • Project management and cross-functional collaboration skills • Proficient with Microsoft Office Suite • Familiarity with HIPAA compliance • Ability to thrive in a high-growth, fast-paced, remote environment • Must be able to remain in a stationary position ~50% of the time • Occasional travel WHY JOIN ACCESS TELECARE? • Strong compensation with performance-based incentives • 100% Remote with national visibility • Comprehensive benefits — health, dental, vision, life, and 401(k) • Flexible vacation and wellness time • A culture of ownership, transparency, and results Ready to make an impact? Apply today and help shape the future of virtual healthcare. Access TeleCare, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, marital status, national origin, disability, protected veteran status, race, religion, sex, or any other characteristic protected by applicable laws, regulations, and ordinances. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.

Responsibilities

The Payer Dispute RCM Strategist is responsible for building and leading Access TeleCare’s Independent Dispute Resolution program under the No Surprises Act. This role involves overseeing the management of payer disputes and ensuring compliance with regulations while driving process improvements.