Paralegal - Healthcare Compliance

Overview

This full-time remote position supports key operational and administrative duties related to the No Surprises Act (NSA), concentrating on out-of-network billing issues, Independent Dispute Resolution (IDR), and ensuring adherence to federal and state healthcare laws. The role cooperates extensively with healthcare providers, insurance companies, and third-party vendors to guarantee precise dispute submission, thorough documentation, and regulatory compliance.

Key Responsibilities

• Assist in preparing and reviewing NSA-related medical claims ensuring compliance with federal guidelines and agency requirements.
• Manage and compile documentation for No Surprises Act Independent Dispute Resolution (IDR) submissions.
• Analyze medical billing records, Explanation of Benefits (EOBs), payment decisions, and insurer communications to support case evaluations.
• Examine medical records, insurance documents, and other evidence to extract pertinent information.
• Monitor deadlines, filing protocols, and status updates related to NSA regulations and reimbursement policies.
• Facilitate communication with healthcare providers, insurers, IDR organizations, and internal teams regarding disputes.
• Maintain detailed electronic and physical case files following HIPAA and confidentiality standards.
• Proofread and transcribe documents to ensure accuracy before submission or filing.
• Uphold strict confidentiality of sensitive case information.

Qualifications and Skills

• 2 to 5 years experience providing legal support.
• Deep knowledge of medical terminology, CPT and ICD coding, and reimbursement procedures.
• Familiarity with the No Surprises Act, IDR processes, and healthcare regulatory compliance.
• Excellent organizational abilities, analytical thinking, and effective time management.
• High attention to detail with skill in handling multiple priorities and deadlines.
• Strong written and verbal communication skills.

Working Details

• Type of employment: Full-Time
• Work schedule: Monday through Friday
• Location: Remote (work from any location)
• Compensation range: $80,000 to $100,000 annually