Dispute Resolution Paralegal (IDR)

Job Description

Job Description

Job Summary

Green Light is a rapidly growing healthcare technology company seeking a Dispute Resolution Paralegal (IDR) to support the resolution of complex healthcare payment disputes under the No Surprises Act. This role sits at the intersection of healthcare reimbursement, regulatory compliance, and legal process, supporting Independent Dispute Resolution (IDR) between providers and health plans.

The ideal candidate brings paralegal or legal support experience, strong analytical skills, and comfort working within structured regulatory frameworks. This role is well suited for individuals with experience in litigation support, arbitration, administrative law, or healthcare-related legal processes. We value professionals with strong judgment, attention to detail, and the ability to manage multiple matters in a deadline-driven environment.

Responsibilities

• Support and administer disputes subject to the No Surprises Act (NSA), with a primary focus on the Independent Dispute Resolution (IDR) process, including Open Negotiations and formal IDR submissions.
• Review, organize, and analyze dispute materials to ensure completeness, accuracy, and compliance with applicable statutes, regulations, and procedural requirements.
• Apply federal regulatory guidance, payer policies, and reimbursement methodologies when evaluating disputes and supporting case strategy and outcomes.
• Conduct detailed research of claims, appeals, and supporting documentation to identify relevant facts, legal considerations, and potential resolution pathways.
• Draft, compile, and maintain formal dispute documentation, including written summaries, position statements, settlement agreements, and procedural correspondence suitable for regulatory review or audit.
• Prepare and organize case files and supporting exhibits for submission in formal IDR proceedings.
• Facilitate timely and accurate exchange of information among healthcare providers, health plans, internal teams, clients, and other stakeholders throughout the dispute lifecycle.
• Communicate professionally with provider representatives, payers, and stakeholders regarding IDR processes, timelines, procedural requirements, and outcomes.
• Track and manage multiple concurrent matters, ensuring adherence to federally mandated timelines and internal quality standards.
• Collaborate cross-functionally with legal, compliance, and operations teams to promote consistency, defensibility, and regulatory compliance in dispute resolution practices.
• Maintain complete, well-organized case records to support internal quality reviews, audits, and external regulatory inquiries.
• Ensure ongoing compliance with HIPAA, confidentiality obligations, and information security requirements.

Qualifications

• 3–5 years of experience in a paralegal, legal support, or dispute resolution role, preferably in healthcare, insurance, or a regulated industry.
• Experience supporting arbitration, litigation, administrative proceedings, or regulatory processes strongly preferred.
• Strong analytical, research, and organizational skills, with the ability to interpret and apply statutes, regulations, and procedural guidance.
• Excellent written and verbal communication skills, including experience drafting formal legal documentation.
• Ability to manage multiple cases simultaneously while meeting strict regulatory deadlines.
• Working knowledge of healthcare billing, reimbursement methodologies, and medical terminology is a plus, but not required.
• Familiarity with claims systems, dispute platforms, or case management tools is a plus.