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.
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
Benefits
- Comprehensive medical, dental, and vision plans (some at no cost to the employee)
- 401K matching
- Paid parental leave
- 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
- Employee Assistance Program through HealthAdvocate
- Access to Maven resources for new parents through Blue Shield
Why Tyson & Mendes?
We are one of the country’s fastest growing civil defense firms. We have steadily and successfully made our mark as a trailblazer in the legal ecosphere. We are a progressive, dynamic and diverse firm that prides ourselves in breaking the mold upheld by the “traditional” law firm. Here, you will discover an exceptionally smart, deeply talented team, who have continuously made a profound impact on the lives of literally hundreds of thousands of people. From Howell vs. Hamilton Meats, to our many trial wins, our mission every day is to provide unparalleled service and achieve exceptional results for our clients.
In addition to our outstanding legal work, we take an innovative approach to law firm management that invests wholly in our employees.
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.
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No recruiters/agencies
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Pay Range
$25—$38 USD
Top Skills
What We Do
Tyson & Mendes’ goal is to achieve justice for all through innovation, collaboration, and outstanding service. Founded in 2002 by principal trial attorneys Robert Tyson and Patrick Mendes, we are an AV-rated litigation firm of more than 200 attorneys across the U.S. specializing in defending insurers, corporations, and insureds in civil litigation. Tyson & Mendes represents clients throughout Arizona, California, Colorado, Connecticut, Florida, Illinois, Massachusetts, Nevada, New Jersey, New Mexico, New York, Tennessee, Texas, and Washington. In addition to these states, our attorneys also serve clients in Georgia, Iowa, Missouri, Nebraska, New Hampshire, and Wisconsin.
We have handled some of the most contentious cases that have helped define insurance defense litigation, and we have earned our reputation for targeting the threat of and putting a stop to Nuclear Verdicts® – runaway jury verdicts in excess of $10 million.
Our trial-only subsidiary firm, TM HALO®, is wholly dedicated to stemming the tide of Nuclear Verdicts®. Comprised of Tyson & Mendes’ elite defense attorneys with decades of courtroom experience, TM HALO lawyers parachute in to handle the thorniest, highest stakes cases and prevent Nuclear Verdicts®.
Back at home, we are ensuring all of our attorneys have the tools they need to achieve exceptional results and protect our clients from unfounded damages awards. We are committed to ongoing education and development. Through comprehensive programs like our TM University and the Tyson & Mendes Trial Academy, Tyson & Mendes attorneys receive in-depth training on the proven defense methods outlined in Managing Partner Robert Tyson’s best-selling book, “Nuclear Verdicts®: Defending Justice for All,” which is the first playbook for the defense on how to avoid runaway jury verdicts
