IDR Response Specialist - Medical Claims & Appeals

Job Description

Job Description

IDR Response Specialist – Medical Claims & Appeals

Location: Richardson, TX 75081 – On-Site
Pay: $18–$19/hour
Schedule: Monday–Friday, 8:30 AM–5:30 PM
Employment Type: Full-Time | Direct Hire
Start Date: Monday, October 26, 2026
Openings: 7

About the Opportunity

We are seeking experienced IDR Response Specialists to join a growing healthcare Revenue Cycle Management (RCM) organization in Richardson, Texas.

This position focuses on reviewing medical insurance payment disputes, researching claim discrepancies, gathering supporting documentation, and preparing accurate responses within required deadlines.

The ideal candidate has experience in medical billing, insurance claims, denial management, appeals, or healthcare accounts receivable and understands how medical claims are processed, denied, disputed, and resolved.

Previous experience with the No Surprises Act (NSA) or federal Independent Dispute Resolution (IDR) process is preferred but not required.

We are particularly interested in candidates who are analytical, detail-oriented, organized, and comfortable researching complex medical claims.

Key Responsibilities

• Review incoming medical insurance payment disputes and determine appropriate next steps.
• Research medical claims, payment discrepancies, denials, and reimbursement issues.
• Review EOBs, ERAs, and supporting claims documentation.
• Gather and organize medical billing records, payer correspondence, and other documentation required for dispute responses.
• Prepare accurate and timely responses to Independent Dispute Resolution (IDR) cases.
• Review claims involving out-of-network reimbursement and disputed insurance payments.
• Navigate payer portals and applicable dispute-resolution systems to research claims and track case activity.
• Monitor deadlines and ensure responses and documentation are submitted within required timeframes.
• Maintain accurate records of dispute activity, correspondence, and case outcomes.
• Collaborate with internal AR, billing, and denial-management teams to resolve outstanding issues.
• Follow established procedures and regulatory requirements, including applicable No Surprises Act guidelines.

Required Qualifications

• Experience in healthcare Revenue Cycle Management (RCM), medical billing, insurance claims, denial management, appeals, or medical accounts receivable.
• Understanding of the medical claims lifecycle and insurance reimbursement processes.
• Ability to research denied, unpaid, or underpaid medical claims.
• Experience reviewing insurance claims documentation and identifying payment discrepancies.
• Familiarity with EOBs, ERAs, insurance denials, or appeals documentation.
• Strong analytical, research, and problem-solving skills.
• Excellent attention to detail and documentation accuracy.
• Ability to manage multiple cases and meet strict deadlines.
• Comfortable working with healthcare billing systems, payer portals, and Microsoft Office.
• Strong written communication and organizational skills.

Preferred Qualifications

• Experience with the No Surprises Act (NSA) and federal Independent Dispute Resolution (IDR) processes.
• Knowledge of out-of-network medical claims and reimbursement disputes.
• Experience researching payer underpayments and reimbursement discrepancies.
• Background preparing medical insurance appeals, reconsiderations, or dispute documentation.
• Experience with Medicare, Medicaid, or commercial insurance claims.
• Familiarity with CPT, ICD-10, HCPCS, and medical billing terminology.

Compensation & Benefits

• $18–$19/hour , depending on qualifications and experience.
• Paid Time Off (PTO), accruing and available for use after three consecutive months of employment.
• Company-paid holidays.
• Health, dental, and vision insurance, subject to plan eligibility and terms.
• 401(k) retirement savings plan.
• Workers' compensation coverage.
• Consistent Monday–Friday schedule.

Work Location & Start Date

Richardson, TX 75081 — 100% On-Site

This is a full-time, office-based position. Remote and hybrid work arrangements are not available.

Target Start Date: Monday, October 26, 2026

Candidates who are available to begin on October 26 will receive priority consideration.

Apply Today!

If you have experience researching medical claims, resolving insurance denials, preparing appeals, or reviewing reimbursement discrepancies, we encourage you to apply.

Previous IDR experience is a plus, but strong medical RCM professionals with relevant claims and appeals experience are encouraged to apply.

M&M Strategic Staffing Solutions is a Women & Minority owned company and is proud to be Certified by NMSDC and WBENC.

M&M Strategic Staffing Solutions, Inc. is a specialized Headhunting, Recruiting and Staffing firm that is hired by selective companies across the United States to identify and evaluate some of the top performers in the marketplace. We are dedicated to finding only the strongest candidate exclusively for our clients.

Our intention is to provide a genuine alternative to those companies seeking a different, yet highly effective, staffing & recruiting style with our client’s best interest in mind.

Company Description

M&M Strategic Staffing Solutions is a Women & Minority owned company and is proud to be Certified by NMSDC and WBENC.\r\n\r\nM&M Strategic Staffing Solutions, Inc. is a specialized Headhunting, Recruiting and Staffing firm that is hired by selective companies across the United States to identify and evaluate some of the top performers in the marketplace. We are dedicated to finding only the strongest candidate exclusively for our clients. \r\n\r\nOur intention is to provide a genuine alternative to those companies seeking a different, yet highly effective, staffing & recruiting style with our client’s best interest in mind.