SUMMARY OF POSITION
The Post-Independent Dispute Resolution (IDR) Demand Collector is responsible for securing payment from payers following final determinations issued through the Federal Independent Dispute Resolution (IDR) process under the No Surprises Act. This role oversees post-award collection activities, including issuing formal payment demands, tracking statutory payment deadlines, and ensuring compliance with federal regulations. The Demand Collector analyzes IDR determinations, reconciles awarded amounts against payments received, resolves underpayments and noncompliance issues, and coordinates escalation efforts when payment obligations are not met. This position works closely with multiple internal teams to maintain accurate documentation, support enforcement actions when necessary, and protect organizational revenue while ensuring adherence to the No Surprises Act and related Centers for Medicare & Medicaid Services guidance.
ESSENTIAL JOB DUTIES
Review finalized IDR determinations and identify payer payment obligations.
Issue post-IDR payment demand notices and follow up on outstanding balances.
Monitor statutory payment deadlines and track payer compliance.
Reconcile payments received against IDR awards and identify underpayments or nonpayment.
Communicate with payer representatives regarding post-IDR payment status.
Document all collection efforts and maintain audit-ready records.
Escalate unresolved payment issues to Apollo MedFlight leadership
Prepare reports on post-IDR collections, aging, and payer trends.
Support process improvement initiatives related to post-IDR recovery and compliance.
MARGINAL/NONESSENTIAL JOB DUTIES/OTHER FUNCTIONS
Demonstrated ability to efficiently use a computer and keyboard for sustained data entry, written communications, and portal-based work.
Strong attention to accuracy and detail.
Must be able to lift 10 pounds at a time.
Must be able to access and navigate each department at the organization’s facilities.
Frequent engagement in verbal and written communication with employee management and external parties. Clear communication skills are essential.
MINIMUM REQUIRED QUALIFICATIONS
Experience in healthcare revenue cycle, medical billing, or collections.
Strong understanding of payer reimbursement practices and claims adjudication.
Excellent written and verbal communication skills for professional payer correspondence.
High attention to detail and strong organizational skills.
Regular and reliable attendance
PREFERRED QUALIFICATIONS
Experience handling post-IDR or arbitration-related collections.
Familiarity with CMS guidance, payer contracts, and regulatory compliance frameworks.
Working knowledge of the No Surprises Act and the federal Independent Dispute Resolution (IDR) process.
Proficiency with payer portals and tracking tools (e.g., Excel, revenue cycle software).
WORKING CONDITIONS/ENVIRONMENT
Inside, office environment.
The majority of the workday is spent sitting at a desk or workstation while performing tasks on a computer, such as data entry, email communication, and documentation. Should be comfortable with prolonged periods of sitting.
The ability to type and use a keyboard extensively. Proficiency in typing and computer skills are essential for this role.
Frequently engage in verbal and written communication with employee management and external parties. Clear and effective communication skills are essential.
Must be able to lift 10 pounds at times. Occasionally need to handle files, paperwork, or office supplies, which could involve lifting light objects.
Must be able to read documents, computer screens, and other materials.
Must be able to access and navigate each department at the organization’s facilities.