Legal Appeals Specialist
San Diego, CA, United States5d ago
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Skills
About the role
Appeals Specialist | Tyson & Mendes
Are you a detail-oriented billing professional who enjoys solving problems, navigating complex billing guidelines, and making a meaningful impact? Tyson & Mendes is looking for an experienced Appeals Specialist to join our growing team!
In this role, you'll play an important part in supporting the firm's financial success by reviewing invoice reductions, managing appeals, and working closely with attorneys and billing professionals to maximize recovery. We're looking for someone who takes ownership of their work, thrives on organization and accuracy, and enjoys finding solutions to complex billing challenges.
Why Tyson & Mendes? We're a growing national law firm that values collaboration, professional development, and work-life balance. With a 37.5-hour standard workweek, competitive compensation, comprehensive benefits, and opportunities to grow, we offer a supportive environment where your contributions are recognized and valued.
If you're ready to bring your expertise to a collaborative team where your work truly matters, we'd love to hear from you!
The Appeals Specialist role is responsible for reviewing and submitting appeal responses in various ebilling platforms in an effort to recover reduced invoice amounts. The position is responsible for various insurance carriers and will review their reductions, create and submit appeal emails to the attorneys, and submit the completed appeals before their deadlines. They may also assist the appeals team lead with various reports and other projects.
Responsibilities
- Manage the appeal process for reduced invoices for insurance carriers.
- Generate reports using Word, Adobe, & Excel for legal staff to utilize in crafting comments to appeal.
- Manage appeal deadlines and follow up with legal staff to ensure deadlines are met.
- Utilize various eBilling platforms to submit appeals.
- Communicate with timekeepers, billing specialists, and payables team to resolve issues related to reductions.
- Knowledge of the eBilling/billing process for insurance clients.
- General understanding of insured matter billing and major carrier guidelines.
- Ability to problem solve and use resources to resolve complex invoice reductions and assist in preventing similar reductions in the future.
- 2+ years experience working in a law firm as an Appeals Specialist or Billing professional
- Intermediate or advanced knowledge of Excel, Word & Adobe and ability to create and maintain spreadsheets
- Intermediate to advanced knowledge of eBilling platforms and ability to navigate primary vendor websites for major insurance carriers
- Demonstrate a willingness to research, troubleshoot and respond to billing appeal inquiries
- High level of confidence and professionalism in written and verbal communication internally and externally
- Ability to maintain calm disposition in high stress environment
- Willingness to learn and adapt to changes
- Excellent organizational skills and attention to detail
Compensation Package
- The hourly pay range of $25-38/hour, depending on experience
- Overtime paid at 1.5× the regular hourly rate, as needed
- Comprehensive benefits coverage offered, including plans available at zero employee cost (average annual employee contribution for health/vision/dental coverage is $700-1,700)
- Employee Assistance Program through HealthAdvocate
- Employees benefit from a 401(k) program that includes a 100% match on the first 3% contributed and a 50% match on the following 4-5%
- Vacation time is accrued annually at the employee’s base rate
- Employees receive a monthly technology reimbursement of $60
- Paid parental leave at base pay
Benefits
- 37.5-hour standard workweek designed to promote balance and prevent burnout
- Educational reimbursement program for non-attorney eligible team members (up to $3,500 per calendar year)
- Internal diversity and inclusion programs, such as the Women’s Initiative and Young Professionals Initiative
- Firm-wide charitable giving program
- Numerous social and off-site events each year to enrich your relationships with your colleagues
About Tyson & Mendes
Click here to learn more about the Tyson & Mendes Office!