Demo

Appeals Specialist

Tyson & Mendes LLP
San Diego, CA Full Time
POSTED ON 1/23/2025
AVAILABLE BEFORE 4/23/2025

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

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

    Follow along with the firm on  Twitter  and LinkedIn, or visit  www.tysonmendes.com

    No recruiters / agencies

    li-remote

    Pay Range

    38 USD

    Salary : $38

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Appeals Specialist?

    Sign up to receive alerts about other jobs on the Appeals Specialist career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $48,731 - $60,363
    Income Estimation: 
    $55,490 - $70,607
    Income Estimation: 
    $49,313 - $64,855
    Income Estimation: 
    $49,126 - $60,591
    Income Estimation: 
    $44,557 - $53,909
    Income Estimation: 
    $55,490 - $70,607
    Income Estimation: 
    $49,313 - $64,855
    Income Estimation: 
    $49,126 - $60,591
    Income Estimation: 
    $49,126 - $60,591
    Income Estimation: 
    $70,647 - $86,374
    Income Estimation: 
    $123,613 - $165,638
    Income Estimation: 
    $69,116 - $84,792
    Income Estimation: 
    $87,788 - $104,837
    Income Estimation: 
    $70,647 - $86,374
    Income Estimation: 
    $123,613 - $165,638
    Income Estimation: 
    $69,116 - $84,792
    Income Estimation: 
    $38,612 - $46,691
    Income Estimation: 
    $48,731 - $60,363
    Income Estimation: 
    $43,963 - $55,591
    Income Estimation: 
    $44,557 - $53,909
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at Tyson & Mendes LLP

    Tyson & Mendes LLP
    Hired Organization Address Fort Lauderdale, FL Full Time
    Join Tyson & Mendes: Leading the Charge in Insurance Defense and Trial Advocacy Please note: An active bar license in th...
    Tyson & Mendes LLP
    Hired Organization Address Henderson, NV Full Time
    Job Description Job Description Join Tyson & Mendes : Leading the Charge in Insurance Defense and Trial Advocacy Please ...
    Tyson & Mendes LLP
    Hired Organization Address San Diego, CA Full Time
    Job Description Job Description Join Tyson & Mendes : Leading the Charge in Insurance Defense and Trial Advocacy Please ...
    Tyson & Mendes LLP
    Hired Organization Address Newport, CA Full Time
    Job Description Job Description Join Tyson & Mendes : Leading the Charge in Insurance Defense and Trial Advocacy Please ...

    Not the job you're looking for? Here are some other Appeals Specialist jobs in the San Diego, CA area that may be a better fit.

    Specialist 1, Appeals

    Tandem Diabetes Care, San Diego, CA

    Grievance/Appeals Healthcare Specialist

    Siri IT Solutions Pvt Ltd, San Diego, CA

    AI Assistant is available now!

    Feel free to start your new journey!