Legal Appeals Specialist

Tyson & Mendes LLP•San Diego, CA

10d•$25 - $38•Remote

About The Position

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.

Requirements

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

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.

Benefits

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
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