Administrative Assistant - Appeals Specialist

ExternalMelville, NY
7d$20 - $24Hybrid

About The Position

Founded in 2003, Lydecker is a growing AV-rated full-service law firm with over 140 attorneys in thirteen offices throughout Florida, New York, New Jersey, Pennsylvania, California, Texas, Oklahoma, and Georgia. We currently have an opening for an detail-oriented Appeals Specialists to join our team. The ideal candidate will have at least one year of experience in an administrative role within an organization, preferably a law firm. They should be highly proficient with computers, including familiarity with legal billing software and Microsoft Office Suite. This is a hybrid position. Must work in the Melville, NY office 3 times a week.

Requirements

  • Minimum of 1 year of experience in an administrative role within an organization, preferably a law firm.
  • Proficient in Microsoft Office Suite, with skills in Excel.
  • Excellent communication skills and attention to detail.
  • Ability to work independently and prioritize tasks in a fast-paced environment.
  • High school diploma or equivalent

Nice To Haves

  • Minimum of 1 year of experience in an legal billing role is a plus.
  • Associate’s degree preferred.

Responsibilities

  • Assist in the execution of the firm’s appeals process.
  • Scan and distribute incoming office mail.
  • Assist attorneys in entering monthly billing and assist with monthly prebill edits.
  • Perform general bookkeeping tasks, maintain records, and support documents related to appeals.
  • Communicate with clients regarding appeals inquiries and issues through various channels.
  • Research and respond to internal and external requests related to appeals.
  • Produce standardized and ad-hoc reports as requested by management.
  • Coordinate with the Records Manager to close client files and maintain confidentiality.
  • Perform other related duties as assigned.
  • Review and Analyze deductions to firm’s invoices: and evaluate the potential for a successful appeal.
  • Prepare and Submit Appeals: Draft written appeals to insurance companies, including gathering necessary documentation and evidence to support the appeal.
  • Communicate with attorneys and insurance representatives to collect additional information or clarification needed for appeals.
  • Monitor Appeal Status: Track the status of submitted appeals, ensuring timely follow-up and resolution.
  • Interpret Guidelines: Apply current insurance carrier’s regulations and policies, to ensure compliance in the appeals process.
  • Analyze Appeal Outcomes: Identify trends, patterns, or issues in denials and recommend process improvements to minimize future denials or reductions.

Benefits

  • Hourly rate depending on depth and years of experience
  • Annual performance reviews with potential for sizeable increase in salary
  • Hybrid or remote work environment
  • Flexible work hours
  • Medical Insurance – Currently provided by Cigna Healthcare with multiple insurance plans to choose from based on your needs – partially paid for by Firm for the employee; All outpatient mental health services are free of charge with no copays
  • Optional Dental & Vision Insurance
  • Optional Voluntary Life and Disability Insurance
  • Optional Voluntary Accident Insurance
  • Optional Critical Illness Insurance
  • Optional Cancer Insurance
  • Optional Hospitalization Insurance
  • Optional Health Savings Account
  • Optional Flexible Spending Account
  • 401k after one calendar year of employment
  • Paid time off (PTO) to support your overall well-being
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