ADMINISTRATIVE ASSISTANT - IDRE - REMOTE

About iMPROve HealthCome join the iMPROve Health team!

iMPROve Health is Michigan’s Medicare-designated Quality Improvement Organization, and we’re proud to be recognized as both a Cool Place to Work by Crain’s Detroit Business (four years running) and one of Modern Healthcare’s Best Places to Work in Healthcare.

As a nonprofit with more than 40 years of experience, we’re dedicated to improving healthcare across the continuum of care using evidence-based, data-driven strategies. We provide medical consulting and review services, along with data analysis, to federal agencies, state Medicaid programs, public health organizations, healthcare facilities, private health plans, and other third-party payers. Our team also specializes in impartial utilization review, dispute resolution, and peer review. Our mission is simple: help healthcare get better.

This position is 100% remote, offering the flexibility to work from anywhere in the United States while collaborating with a supportive, nationwide team. We prioritize work/life balance and invest in our employees’ growth through professional development and continuing education opportunities. Our benefit package includes medical, dental, vision, life insurance, short- and long-term disability, and a generous 401(k) match.

At iMPROve Health, we are committed to improving the quality, safety, and efficiency of healthcare. While we do not provide direct patient care, our healthcare professionals—including physicians, nurses, and experienced consultants—partner with providers to promote the use of evidence-based best practices. We offer our clients a trusted, impartial resource that understands the complexities of the healthcare landscape and is dedicated to thoughtful, high-quality solutions.

Join us in making a meaningful impact on healthcare—one improvement at a time.

About the Role:

We are seeking a highly organized and detail-oriented Administrative Assistant to support our Independent Dispute Resolution (IDR) operations under the No Surprises Act. This role plays a critical part in ensuring disputes are prepared accurately, submitted timely, and managed in compliance with federal regulatory requirements.

The ideal candidate thrives in a deadline-driven environment, is comfortable navigating multiple technology platforms, and has strong administrative and documentation management skills.

Key ResponsibilitiesIDRE Administrative Support

• Manage administrative responsibilities for IDRE, including data entry, report generation, and case documentation management
• Download and upload dispute documentation between portals and internal systems
• Assist with dispute preparation for arbitration, ensuring completeness and accuracy
• Process disputes for eligibility as required
• Develop and maintain tracking spreadsheets and program templates

Case Tracking & Coordination

• Work closely with the Federal IDRE team to track deadlines, case statuses, and required submissions throughout the dispute life cycle
• Update databases and spreadsheets with case information and documentation details
• Organize and maintain electronic case files and folder structures
• Coordinate with internal teams (Finance, Operations, etc.) to ensure timely dispute processing
• Assist with scheduling internal and external meetings

Communication & Customer Support

• Monitor and respond to internal and external email and phone inquiries
• Provide updates on case and payment status
• Route inquiries to appropriate team members in a timely manner
• Support the team in meeting daily processing targets

Compliance & Confidentiality

• Ensure adherence to all Company policies and procedures
• Maintain compliance with HIPAA, FISMA, URAC, CMS, FAR, and other applicable regulations
• Handle confidential and sensitive information with the highest level of professionalism

Qualifications

Education & Experience

• Associate’s degree or equivalent combination of education and experience required
• Minimum two (2) years of administrative support experience required
• Experience reviewing medical claims, remittance advice, or Explanation of Benefits (EOBs) strongly preferred
• Familiarity with healthcare billing, reimbursement, or payer-provider processes preferred

Technical Skills

• Experience with complex technology systems (e.g., Salesforce, SharePoint, third-party portals)
• Proficiency in Microsoft Excel, Word, Outlook, and OneNote
• Experience with document management systems (SharePoint preferred)
• Comfortable electronically signing and managing PDF documents (e.g., Foxit or similar tools)
• Visio experience a plus

Core Competencies

• Strong attention to detail and accuracy
• Ability to manage multiple deadlines and stay on task
• Strong organizational and time management skills
• Ability to work independently with minimal supervision
• Excellent written and verbal communication skills

Remote Work Requirements

• Reliable high-speed internet connection
• Professional, distraction-free home workspace
• Comfortable using virtual communication tools (Teams, email, chat)
• Ability to securely manage electronic documents and digital signatures
• Proficiency navigating multiple cloud-based systems and third-party platforms

EOE/VET/Disability

*Must be able to work M-F normal business hours in EST.