IDR Operation Coordinator

About the role

Plutus Health Inc. is seeking detail‑oriented professionals to manage and support activities related to the new Independent Dispute Resolution (IDR) portal and payer dispute workflows. The role involves accessing, reviewing, tracking, and coordinating IDR cases while ensuring compliance with portal guidelines and payer requirements.

Key responsibilities

• Access and manage the IDR portal in line with regulatory and payer usage guidelines.
• Review, monitor, and track IDR cases, disputes, and documentation requirements.
• Coordinate with AR follow‑up, denial management, billing, and compliance teams on disputed claims.
• Ensure timely submission of supporting documentation and payer communications.
• Maintain accurate logs, reports, trackers, and case status updates.
• Analyze claim disputes, reimbursement discrepancies, and payer responses.
• Escalate high‑priority or compliance‑related issues to leadership.
• Collaborate with offshore and onshore operational teams for workflow coordination.
• Support process‑improvement initiatives for IDR and denial management operations.
• Ensure HIPAA compliance and adherence to SOPs and payer regulations.
• Assist leadership with operational reporting, metrics, and audit readiness.

Required profile

• 1‑2 years of experience in Healthcare Revenue Cycle Management, AR follow‑up, denial management, or claims operations.
• Strong understanding of medical billing, payer workflows, and healthcare reimbursement processes.
• Familiarity with commercial insurance payers, appeals, denials, and escalation management.
• Excellent verbal and written communication skills.
• Ability to work independently in a fast‑paced operational environment.

Required skills

• Proficiency in Microsoft Excel