Legal Appeals Specialist
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 reviews reductions for various insurance carriers, prepares appeal emails for attorneys, and submits completed appeals through e-billing platforms before deadlines. The specialist may also assist the appeals team lead with reports and other projects. The role requires familiarity with e-billing and billing processes for insurance clients, organization and accuracy, and the ability to investigate complex billing challenges and identify solutions. The firm describes a standard 37.5-hour workweek and offers competitive compensation, benefits, and professional development opportunities.
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 e-billing platforms and the ability to navigate major insurance carriers’ primary vendor websites.
- Willingness 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.
- Knowledge of the e-billing and billing process for insurance clients.
- General understanding of insured-matter billing and major carrier guidelines.
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 e-billing 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.
- Research and resolve complex invoice reductions and help prevent similar reductions in the future.
Benefits
- Comprehensive benefits coverage, including plans available at zero employee cost; average annual employee contribution for health, vision, and dental coverage is $700–$1,700.
- Employee Assistance Program through HealthAdvocate.
- 401(k) program 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.
- 37.5-hour standard workweek designed to promote balance and prevent burnout.
- 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.
- Overtime paid at 1.5 times the regular hourly rate, as needed.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
