Medical Paralegal - NSA (No Surprise Act) & Out-of-Network Claims Location: Englewood, New Jersey (onsite, Monday-Friday, 8am-5pm) Job Type: Full-Time Are you an experienced Paralegal with a background in medical billing, healthcare law, and out-of-network reimbursement? Do you want to use your skills to make a difference under the No Surprises Act (NSA)? Join Progressive Spine & Orthopaedics, a fast-growing medical practice with statewide offices and a culture built on collaboration, professionalism, and purpose. About the Role: The Medical Paralegal - NSA Claims will be the key point of contact for out-of-network reimbursement disputes, focusing on NSA and Independent Dispute Resolution (IDR) cases. You'll research laws, draft appeals, prepare filings, and partner with providers, attorneys, and payers to ensure compliance and fair payment. Responsibilities: - Prepare and manage NSA and IDR filings, appeals, and dispute submissions. - Research federal/state regulations and payer rules impacting out-of-network reimbursement. - Draft strong appeals, position letters, and correspondence. - Work with providers to collect medical and billing records for disputes. Qualifications: - Paralegal certificate or degree required; Bachelor's preferred. - 3+ years of experience in medical billing, healthcare law, or paralegal work. - Strong knowledge of NSA, IDR, and out-of-network claims. - Excellent writing, research, and organizational skills. Why Join Us? Since 2011, Progressive Spine & Orthopaedics has been delivering exceptional care across New Jersey. We're growing rapidly, and this role offers the chance to make a direct impact in the evolving field of NSA and out-of-network reimbursement. Enjoy a Monday-Friday schedule, a supportive team, and the opportunity to shape fair outcomes for providers and patients. Pay Transparency Notice In accordance with the New Jersey Pay Transparency Act, this position falls within Pay Grade 11 of the 2025 OPM Salary Table applicable to the NY, NJ, CT, and PA region. Final compensation will be based on experience and education. Apply today and bring your legal expertise to a team where healthcare meets law.
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