Legal Appeals Specialist

Tyson & Mendes•San Diego, CA

About The Position

Tyson & Mendes is seeking an experienced Appeals Specialist to support the firm’s financial success by reviewing invoice reductions, managing appeals, and working with attorneys and billing professionals to maximize recovery. The role involves reviewing reductions from insurance carriers, preparing and submitting appeal responses through various eBilling platforms, and ensuring completed appeals are submitted by their deadlines. The specialist may also assist the appeals team lead with reports and other projects. The firm describes itself as a growing national civil defense law firm that values collaboration, professional development, and work-life balance.

Requirements

At least 2 years of experience working in a law firm as an Appeals Specialist or billing professional.
Intermediate or advanced knowledge of Excel, Word, and Adobe, including the ability to create and maintain spreadsheets.
Intermediate to advanced knowledge of eBilling platforms and ability to navigate primary vendor websites for major insurance carriers.
Knowledge of the eBilling and billing process for insurance clients.
General understanding of insured matter billing and major carrier guidelines.
Willingness and ability to research, troubleshoot, and respond to billing appeal inquiries.
High confidence and professionalism in written and verbal communication, internally and externally.
Ability to maintain a calm disposition in a high-stress environment.
Willingness to learn and adapt to changes.
Excellent organizational skills and attention to detail.
Ability to problem-solve and use available resources to resolve complex invoice reductions and help prevent similar reductions in the future.

Responsibilities

Manage the appeal process for reduced invoices for insurance carriers.
Generate reports using Word, Adobe, and Excel for legal staff to use when crafting appeal comments.
Manage appeal deadlines and follow up with legal staff to ensure deadlines are met.
Use various eBilling platforms to submit appeals.
Communicate with timekeepers, billing specialists, and the payables team to resolve issues related to reductions.
Review carrier reductions, prepare appeal emails for attorneys, and submit completed appeals before deadlines.
Assist the appeals team lead with reports and other projects as needed.

Benefits

Comprehensive benefits coverage, including plans available at zero employee cost.
Employee Assistance Program through HealthAdvocate.
401(k) with a 100% match on the first 3% contributed and a 50% match on the following 4–5%.
Vacation time accrued annually at the employee’s base rate.
Monthly technology reimbursement of $60.
Paid parental leave at base pay.
Educational reimbursement for eligible non-attorney team members, up to $3,500 per calendar year.
Internal diversity and inclusion programs, including the Women’s Initiative and Young Professionals Initiative.
Firm-wide charitable giving program.
Social and off-site events throughout the year.
37.5-hour standard workweek designed to promote balance and prevent burnout.
Overtime paid at 1.5 times the regular hourly rate, as needed.