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Legal Appeals Specialist

San Diego, CA

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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Pay Range

$25 - $38 USD

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