Legal Appeals Specialist
Tyson & Mendes LLP, San Diego, CA, United States
The Appeals Specialist role is responsible for reviewing and submitting appeal responses in various e-billing platforms to recover reduced invoice amounts. The position handles various insurance carriers, reviews their reductions, creates and submits appeal emails to attorneys, and submits completed appeals before 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.
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
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
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
We’re one of the fastest-growing civil defense firms in the country—known for breaking the mold of the traditional law firm. Our dynamic, diverse team of trial attorneys delivers exceptional results, from landmark cases like Howell v. Hamilton Meats to numerous defense verdicts across the nation.
But we don’t stop at great legal work—we invest in our people. With specialized training in our proven defense methods, clear paths to leadership, and robust professional development, we empower attorneys to grow their careers, build their personal brands, and become leaders in the field.
OK, now for the legal copy (we are a law firm, after all). It is Tyson & Mendes’ policy to ensure equal employment opportunity without discrimination or harassment on the basis of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit-based factors. By the way, if you read all of this, congratulations – we can already tell your attention to detail is exceptional.
NOTICE TO APPLICANTS/EMPLOYEES OF TYSON & MENDES: Please take notice that the Firm collects certain information about you. For more information on the Firm’s policies, please refer to the document provided here.
Pay Range
$30 - $34 USD
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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.
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
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
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
We’re one of the fastest-growing civil defense firms in the country—known for breaking the mold of the traditional law firm. Our dynamic, diverse team of trial attorneys delivers exceptional results, from landmark cases like Howell v. Hamilton Meats to numerous defense verdicts across the nation.
But we don’t stop at great legal work—we invest in our people. With specialized training in our proven defense methods, clear paths to leadership, and robust professional development, we empower attorneys to grow their careers, build their personal brands, and become leaders in the field.
OK, now for the legal copy (we are a law firm, after all). It is Tyson & Mendes’ policy to ensure equal employment opportunity without discrimination or harassment on the basis of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit-based factors. By the way, if you read all of this, congratulations – we can already tell your attention to detail is exceptional.
NOTICE TO APPLICANTS/EMPLOYEES OF TYSON & MENDES: Please take notice that the Firm collects certain information about you. For more information on the Firm’s policies, please refer to the document provided here.
Pay Range
$30 - $34 USD
#J-18808-Ljbffr