IDR Revenue Cycle Manager – Paralegal/Lawyer

Auctus Group

IDR Revenue Cycle Manager for the Auctus Group overseeing out-of-network claims and facilitating IDR processes. Collaborates with clients and departmental teams to optimize dispute management effectiveness.

Posted 7/21/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing out-of-network claims and Independent Dispute Resolution (IDR) processes, including strategy development, documentation, and compliance. Proficient in reviewing complex records and preparing persuasive submissions while ensuring audit-ready documentation.

Highest-signal resume keywords

Out-Of-Network Claims ManagementIndependent Dispute Resolution (IDR)Legal ResearchDocument ReviewClient Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ReviewEligibility AssessmentPayment ReconciliationCase File ManagementEvidence PreparationDeadline TrackingFinancial Exposure EvaluationDispute Strategy DevelopmentWritten Argument PreparationRegulatory Compliance

Soft Skills

CollaborationOrganizational SkillsPersuasive CommunicationAttention to DetailAnalytical Thinking

Industry Keywords

Healthcare DisputesLegal OperationsInsurance ClaimsReimbursement ProcessesAdministrative Disputes

About the role

Key responsibilities & impact

Responsible for managing the strategy, documentation, procedural compliance, and financial performance of out-of-network claims that may qualify for open negotiation and Independent Dispute Resolution (IDR).
Oversees the full lifecycle of eligible disputes, including claim and document review, eligibility assessment, deadline tracking, open negotiation, IDR initiation, offer development, preparation of supporting arguments and evidence, determination review, and payment reconciliation.
Serves as the primary strategic partner for assigned clients and collaborates closely with several departments.
Develops and manages monthly IDR and out-of-network dispute strategy for each assigned client.
Reviews claims, correspondence, payment records, remittance information, contracts, and clinical documentation to determine potential dispute eligibility.
Prepares clear, accurate, organized, and persuasive IDR submissions while maintaining complete, accurate, confidential, and audit-ready documentation for every dispute.

Requirements

What you’ll need

Minimum of three years of experience working as a paralegal, attorney, legal analyst, claims professional, legal operations specialist, regulatory specialist, or in a similar dispute-focused position.
Experience managing legal, administrative, insurance, healthcare, reimbursement, or financial disputes is strongly preferred.
Demonstrated experience reviewing complex records and preparing written arguments, case summaries, demand letters, submissions, or similar documents.
Experience managing case files, evidence, correspondence, and strict procedural deadlines.
Experience conducting legal, regulatory, or procedural research.
Experience communicating with clients, opposing parties, insurance companies, government agencies, or other external stakeholders.
Experience evaluating settlement positions, financial exposure, or dispute outcomes is preferred.

Benefits

Comp & perks

Continuing education support
Charitable donation matching
Remote happy hours
Book club