[Remote] ADMINISTRATIVE ASSISTANT - IDRE - REMOTE

Note: The job is a remote job and is open to candidates in USA. iMPROve Health is Michigan’s Medicare-designated Quality Improvement Organization, dedicated to improving healthcare across the continuum of care. They are seeking a highly organized and detail-oriented Administrative Assistant to support their Independent Dispute Resolution operations, ensuring that disputes are prepared accurately and managed in compliance with federal regulations.

Responsibilities

• Manage administrative responsibilities for the Federal IDRE program, including data entry, report generation, and case documentation management
• Download and upload dispute documentation between federal portals, third-party platforms, and internal systems
• Assist with dispute preparation for arbitration, ensuring all submissions are complete, accurate, and compliant with program requirements
• Process disputes for eligibility as required
• Develop and maintain tracking spreadsheets, templates, reports, and other program support tools
• Electronically manage, organize, and maintain dispute-related documentation and records
• Support the preparation and execution of digital signatures and PDF document management activities
• Work closely with the Federal IDRE team to track deadlines, case statuses, and required submissions throughout the dispute lifecycle
• Update databases, spreadsheets, and tracking systems with case information and documentation details
• Organize and maintain electronic case files, document repositories, and folder structures
• Coordinate with internal departments, including Finance, Operations, and other support teams, to ensure timely dispute processing and resolution
• Assist with scheduling internal and external meetings and coordinating meeting logistics
• Monitor case progress and proactively identify potential delays, missing documentation, or processing issues requiring escalation
• Manage a high-volume shared email inbox that receives a broad range of inquiries and requests related to the No Surprises Act and Independent Dispute Resolution process
• Review, prioritize, triage, and route incoming communications to the appropriate team members for action
• Monitor and respond to internal and external email and phone inquiries in a timely and professional manner
• Identify claims or disputes requiring additional investigation, research, or escalation
• Process and coordinate requests related to portal access, account management, and user support
• Coordinate and schedule internal and external meetings and follow-up activities
• Respond to inquiries regarding dispute status, payment status, eligibility determinations, documentation requirements, and general program processes
• Manage and appropriately route complaints, concerns, and questions related to determination decisions and dispute outcomes
• Ensure all communications, inquiries, and requests are documented and tracked according to established procedures
• Support the team in meeting daily processing targets and service expectations while maintaining a high level of customer service
• Maintain established productivity, quality, and turnaround time standards for the Federal IDRE program
• Effectively manage competing priorities while balancing multiple cases, deadlines, systems, and administrative responsibilities
• Maintain a high level of accuracy and attention to detail while working with large volumes of documentation and data
• Consistently meet case processing, documentation, and quality assurance requirements
• Demonstrate sound judgment when determining appropriate actions, escalation needs, and issue resolution pathways
• Proactively communicate risks, barriers, or delays that could impact case processing or regulatory compliance
• Support continuous process improvement efforts by identifying workflow efficiencies and opportunities to improve team performance and customer service
• Ensure adherence to all company policies, procedures, and operational standards
• Maintain compliance with HIPAA, FISMA, URAC, CMS, FAR, and other applicable federal and contractual regulations
• Handle confidential, sensitive, and protected information with the highest level of professionalism and discretion
• Ensure all dispute documentation and communications are managed in accordance with applicable security and privacy requirements

Skills

• Associate's degree or equivalent combination of education and experience required
• Minimum two (2) years of administrative support experience required
• Experience working with complex technology systems (e.g., Salesforce, SharePoint, third-party portals, case management systems)
• Proficiency in Microsoft Excel, Word, Outlook, Teams, and OneNote
• Exceptional attention to detail and commitment to accuracy
• Strong organizational and time management skills
• Ability to manage multiple deadlines and competing priorities in a fast-paced, deadline-driven environment
• Strong critical thinking and problem-solving skills
• Ability to work independently with minimal supervision
• Excellent written and verbal communication skills
• Customer-service mindset with the ability to professionally manage sensitive, complex, or challenging inquiries
• Ability to maintain productivity and quality standards while handling large volumes of work
• Strong judgment regarding issue identification, escalation, and resolution
• Reliable high-speed internet connection
• Professional, distraction-free home workspace
• Comfortable using virtual communication tools, including Teams, email, chat, and web-based meeting platforms
• Ability to securely manage electronic documents, digital signatures, and confidential information
• Proficiency navigating multiple cloud-based systems, databases, and third-party platforms simultaneously
• Experience reviewing medical claims, remittance advice, or Explanation of Benefits (EOBs) strongly preferred
• Familiarity with healthcare billing, reimbursement, payer-provider processes, or healthcare operations preferred
• Experience supporting high-volume administrative workflows and managing shared inboxes preferred
• Experience with document management systems, preferably SharePoint
• Comfortable electronically signing, organizing, and managing PDF documents using Foxit or similar tools
• Visio experience is a plus

Benefits

• Medical, dental, vision, life insurance, short- and long-term disability, and a generous 401(k) match
• 100% remote, offering the flexibility to work from anywhere in the United States
• Professional development and continuing education opportunities

Company Overview