Underpayment Analyst Jobs in Texas (NOW HIRING)

Position Overview

Anesthesia Dynamics Management is accepting applications from experienced IDR professionals to 

support business needs related to Independent Dispute Resolution case preparation, tracking, and 

out-of-network payment dispute resolution.

This role is responsible for managing IDR case activity, ensuring required documentation is 

complete and timely, monitoring deadlines, and supporting appropriate reimbursement under federal 

and applicable state dispute resolution processes.

The ideal candidate has hands-on experience with IDR, open negotiation, payer disputes, 

underpayment review, or complex revenue cycle follow-up, and is comfortable working independently 

in a deadline-driven environment.

Essential Duties and Responsibilities

•  Review claims and payment disputes for IDR or other dispute resolution eligibility.

•  Prepare and submit IDR case documentation in accordance with applicable requirements.

•  Track case status, deadlines, determinations, and outcomes.

•  Review EOBs, ERAs, payer correspondence, claim history, and supporting documentation.

•  Identify missing information, processing issues, and barriers to case resolution.

•  Maintain accurate case records and reimbursement impact tracking.

•  Monitor IDR, No Surprises Act, CMS, and payer-related process updates.

•  Support reporting on IDR volume, outcomes, trends, and recovery opportunities.

•  Collaborate with AR, billing, denial management, contracting, and operations teams as 

needed.

•  Escalate complex or high-risk matters appropriately.

Required Qualifications

•  Experience in healthcare revenue cycle, claims follow-up, denial management, payer disputes, 

reimbursement, or underpayment review.

•  Working knowledge of EOBs/ERAs, payer portals, claim status research, and payment 

review.

•  Strong attention to detail and ability to manage multiple deadlines.

•  Strong written communication and documentation skills.

•  Ability to work independently in a remote environment.

Preferred Qualifications

•  Experience with Independent Dispute Resolution, open negotiation, or No Surprises Act 

processes.

•  Experience with out-of-network reimbursement, arbitration, or high-dollar payer 

disputes.

•  Experience in anesthesia, radiology, pathology, emergency medicine, or hospital-based physician 

services.

•  Familiarity with CMS IDR guidance, federal IDR portals, state dispute processes, or 

payer-specific dispute workflows.

•  Strong Excel and reporting skills.

Work Environment

This is a remote position. Employees are expected to maintain a secure, professional, and 

distraction-free work environment and comply with company standards related to confidentiality, 

HIPAA, technology use, and information security.

Compensation and Benefits

Anesthesia Dynamics Management offers a competitive compensation and benefits package, including 

health benefits, retirement plan options, paid time off, and additional company-sponsored benefits, 

subject to plan terms and eligibility requirements.

Equal Employment Opportunity

Anesthesia Dynamics Management is an equal opportunity employer. We consider qualified applicants 

for employment without regard to race, color, religion, sex, pregnancy, national origin, age, 

disability, genetic information, veteran status, or any other status protected by applicable 

federal, state, or local law.

Skills

•  IDR case preparation and tracking

•  Open negotiation support

•  Payer dispute resolution

•  Claims and payment analysis

• EOB/ERA review

•  Payer portal research

• Deadline management

• Documentation accuracy

•  Excel and reporting

• HIPAA and confidentiality

Required Qualifications

•  Experience in healthcare revenue cycle, claims follow-up, denial management, payer disputes, 

reimbursement, or underpayment review.

•  Working knowledge of EOBs/ERAs, payer portals, claim status research, and payment 

review.

•  Strong attention to detail and ability to manage multiple deadlines.

•  Strong written communication and documentation skills.

•  Ability to work independently in a remote environment.

Skills

•  IDR case preparation and tracking

•  Open negotiation support

•  Payer dispute resolution

•  Claims and payment analysis

• EOB/ERA review

•  Payer portal research

• Deadline management

• Documentation accuracy

•  Excel and reporting

• HIPAA and confidentiality