IDR Portal Access Specialist

About

Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance and recognized among the Inc. 5000 fastest-growing private companies. We specialize in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. Our commitment to innovation and excellence has earned us recognition as a 2024 EY Entrepreneur Of The Year finalist and one of the top 100 fastest-growing companies in Dallas.

Life at Plutus Health

Plutus Health offers a unique work environment that is both thrilling and enriching, fostering personal and professional growth. Our company is a hub of innovation, collaboration, and continuous learning, where we encourage our employees to adopt a positive mindset and strive for excellence.

At Plutus Health, you'll be part of a vibrant team that thrives on creativity and problem-solving. You'll have the opportunity to work on cutting-edge projects, leveraging the latest technologies and methodologies to deliver intelligent solutions that make a tangible difference for our clients.

Plutus Health prioritizes the well-being of its employees and fosters a supportive and inclusive culture that promotes work-life balance. If you are enthusiastic about joining a vibrant organization that values your input, Plutus Health is the ideal place to pursue your career goals.

Job Title: IDR Portal Access Specialist

Experience: 2–5 years of experience in Healthcare Revenue Cycle Management (RCM), AR follow-up, denial management, or claims operation

Location: Dallas, Texas/Remote

Employment Type: Full-time

Job Summary

Plutus Health is seeking detail-oriented and process-driven professionals to manage and support activities related to the new IDR portal and payer dispute workflows. The ideal candidate will be responsible for accessing, reviewing, tracking, and coordinating IDR-related cases while ensuring compliance with updated portal usage guidelines and payer requirements.

This role requires strong healthcare revenue cycle knowledge, excellent attention to detail, and the ability to work collaboratively with internal AR, denial management, legal/compliance, and operational teams.

Key Responsibilities

• Access and manage the new IDR portal in compliance with updated 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 regarding 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 teams.
• Work closely 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 organizational SOPs and payer regulations.
• Assist leadership with operational reporting, metrics, and audit readiness activities.

Required Qualifications

• 2–5 years of experience in Healthcare Revenue Cycle Management (RCM), AR follow-up, denial management, or claims operations.
• Strong understanding of medical billing, payer workflows, and healthcare reimbursement processes.
• Experience working with payer portals, claim dispute workflows, or IDR processes preferred.
• Familiarity with commercial insurance payers, appeals, denials, and escalation management.
• Strong analytical, organizational, and documentation skills.
• Proficiency in Excel, reporting trackers, and operational dashboards.
• Excellent verbal and written communication skills.
• Ability to work independently in a fast-paced operational environment.

Preferred Qualifications

• Experience handling IDR, arbitration, appeals, or out-of-network reimbursement workflows.
• Exposure to healthcare compliance, audits, and payer regulations.
• Experience working with offshore operational teams.
• Knowledge of CMS guidelines and payer dispute resolution processes.

What We Offer

• Opportunity to work with a rapidly growing healthcare RCM organization.
• Exposure to evolving healthcare operational and compliance workflows.
• Collaborative and growth-focused work culture.
• Career advancement opportunities within AR, denial management, and operational leadership teams.

About the Team

The selected candidate will work closely with Plutus Health operational leaders, denial management specialists, AR teams, and client-facing stakeholders to support critical payer dispute and reimbursement workflows under the new IDR operational guidelines.