Dispute Resolution Coordinator

Pivotal Health

About The Position

Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role We’re looking for a Dispute Resolution Coordinator to support Pivotal’s healthcare dispute resolution workflows, including Independent Dispute Resolution (IDR) processes. In this role, you’ll help manage case submissions, track deadlines, and ensure disputes move through the process accurately across different state arbitration systems. Because each state operates under its own rules and timelines, this role requires strong attention to detail and the ability to manage structured operational workflows. You’ll work closely with internal teams and external partners to keep disputes moving forward while helping build repeatable processes as the program grows. This is a great opportunity for someone early in their career who enjoys organized, process-driven work and wants exposure to healthcare operations and reimbursement systems.

Requirements

1–3 years of professional experience in an operational, administrative, or healthcare-related environment
Organized and highly detail-oriented, with the ability to follow structured processes
Comfortable working in Excel or Google Sheets to track operational workflows
Strong written communication skills when coordinating with internal teams and external partners
Able to manage multiple tasks, deadlines, and case workflows simultaneously
Dependable and consistent in executing repeatable operational processes
Quick learner who is open to feedback and comfortable adapting as workflows evolve

Nice To Haves

Experience working in healthcare, insurance, revenue cycle management (RCM), or reimbursement operations
Familiarity with arbitration, dispute resolution, regulatory, or compliance workflows
Exposure to operational tools such as Asana, Metabase, or similar systems

Responsibilities

Support state IDR workflows: Manage dispute submissions, documentation, and case tracking across assigned states while ensuring deadlines and requirements are met.
Monitor arbitration timelines and correspondence: Review inbound communications from health plans, arbitration entities, and internal teams to ensure cases progress through the process correctly.
Maintain operational tracking and documentation: Update internal systems and spreadsheets to maintain accurate case records, dispute statuses, and operational metrics.
Assist with dispute corrections and resubmissions: Identify submission errors or missing documentation and coordinate resubmissions to keep disputes moving forward.
Support operational cleanup work: Assist with refunds, case reconciliation, and other repeatable tasks required to maintain accurate dispute records.
Help establish repeatable workflows: As state processes evolve, contribute to documenting and improving internal workflows that help the team manage disputes more efficiently.