Legal Appeals Specialist

Tyson & Mendes LLP; San Diego (CA); Sur place; USD 34 000 - 52 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits

401(k) matching

Educational reimbursement

Paid parental leave

Technology reimbursement

Vacation accrual

Professional development programs

Résumé du poste

Tyson & Mendes LLP is seeking an experienced Appeals Specialist to join our growing team. You will review invoice reductions, manage appeals, and collaborate with attorneys and billing staff to maximize recovered amounts.

The role requires 2+ years in a law firm, strong Excel/Word/Adobe skills, and solid knowledge of eBilling platforms. Expect a 37.5-hour workweek and competitive benefits as part of a supportive firm culture.

Qualifications

• 2+ years of experience in a law firm as an Appeals Specialist or Billing professional.
• Proficiency with Excel, Word, and Adobe; ability to create and maintain spreadsheets.
• Experience navigating eBilling platforms for major insurance carriers.
• Strong research, troubleshooting, and responsiveness to billing inquiries.
• Excellent written and verbal communication; professional demeanor.

Responsabilités

• Manage the appeal process for reduced invoices for insurance carriers.
• Generate reports using Word, Adobe, and Excel for staff to use in comments to appeal.
• Manage appeal deadlines and coordinate with legal staff to meet them.
• Submit appeals via various eBilling platforms.
• Communicate with timekeepers, billing specialists, and payables to resolve reductions.
• Apply knowledge of the eBilling/billing processes for insurance clients.
• Understand insured matter billing and major carrier guidelines.
• Problem-solve to resolve complex invoice reductions and prevent future issues.

Connaissances

Billing experience

Attention to detail

Verbal communication

Written communication

Calm under pressure

Organization

Outils

Excel

Word

Adobe

eBilling platforms

Description du poste

Are you a detail-oriented billing professional who enjoys solving problems, navigating complex billing guidelines, and making a meaningful impact? Tyson & Mendes is looking for an experienced Appeals Specialist to join our growing team!

In this role, you'll play an important part in supporting the firm's financial success by reviewing invoice reductions, managing appeals, and working closely with attorneys and billing professionals to maximize recovery. We're looking for someone who takes ownership of their work, thrives on organization and accuracy, and enjoys finding solutions to complex billing challenges.

Why Tyson & Mendes?

We're a growing national law firm that values collaboration, professional development, and work-life balance. With a 37.5-hour standard workweek, competitive compensation, comprehensive benefits, and opportunities to grow, we offer a supportive environment where your contributions are recognized and valued.

If you're ready to bring your expertise to a collaborative team where your work truly matters, we'd love to hear from you!

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

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 .