IDR/NSA Specialist jobs in United States
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RDL BILLING SERVICE, INC · 21 hours ago

IDR/NSA Specialist

RDL Billing Service Inc. is a New York-based medical billing company specializing in out-of-network surgeons across multiple surgical specialties. They are seeking an experienced IDR/NSA-focused billing professional to manage and submit NSA IDR cases for out-of-network surgical claims, ensuring accuracy, timeliness, and compliance with federal and state requirements.

Individual and Family Services
Hiring Manager
Diana Kichenamourty, MBA
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Responsibilities

Identify NSA-eligible claims for out-of-network services
Prepare and submit federal IDR cases (and state IDR when applicable)
Compile and organize required IDR documentation, including:
EOBs
Medical records
Fee schedules / Fair Health data
Supporting rationale and payment justification
Track IDR timelines, deadlines, and determinations
Respond to payer communications and requests for additional information
Maintain accurate tracking and reporting of IDR submissions and outcomes
Work closely with internal billing and AR teams to align strategy

Qualification

NSA IDR experienceNo Surprises Act knowledgeOut-of-network reimbursementFederal IDR submissionAttention to detailOrganizational skillsIndependent work

Required

Direct experience filing NSA IDR cases (this is mandatory)
Strong understanding of No Surprises Act regulations
Federal IDR timelines and submission requirements
Out-of-network reimbursement methodologies
Experience working with out-of-network surgical claims
Excellent attention to detail and organization
Ability to work independently and manage multiple IDR cases simultaneously

Company

RDL BILLING SERVICE, INC

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Funding

Current Stage
Early Stage
Company data provided by crunchbase