Legal Appeals Specialist

Overview

This role involves reviewing and submitting appeal responses in various eBilling platforms to recover reduced invoice amounts. The Appeals Specialist supports multiple insurance carriers by reviewing reductions, creating and submitting appeal emails to attorneys, and ensuring completed appeals are submitted before deadlines. The position also assists the appeals team lead with reports and other projects as needed.

Responsibilities

• Manage the appeal process for reduced invoices for insurance carriers.
• Generate reports using Word, Adobe, and Excel for legal staff to use in crafting appeal comments.
• 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 the payables team to resolve issues related to reductions.
• Review insurance carrier reductions and apply understanding of insured matter billing and major carrier guidelines.
• Research, troubleshoot, and respond to billing appeal inquiries.
• Use problem-solving skills and available resources to address complex invoice reductions and help prevent similar reductions in the future.
• Support appeals team lead with reports and other projects, as assigned.

Requirements

• 2+ years of experience working in a law firm as an Appeals Specialist or Billing professional.
• Intermediate or advanced knowledge of Excel, Word, and Adobe, with the ability to create and maintain spreadsheets.
• Intermediate to advanced knowledge of eBilling platforms, including the ability to navigate primary vendor websites for major insurance carriers.
• High level of confidence and professionalism in written and verbal communication internally and externally.
• Ability to maintain a calm disposition in a high-stress environment.
• Willingness to learn and adapt to changes.
• Excellent organizational skills and attention to detail.

Preferred Qualifications

• General understanding of insured matter billing and major carrier guidelines.

Compensation & Benefits

• Hourly pay range: $25–$38/hour, depending on experience.
• Overtime: paid at 1.5× the regular hourly rate, as needed.
• Comprehensive benefits coverage, 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.
• 401(k) program with 100% match on the first 3% contributed and a 50% match on the following 4–5%.
• Vacation time accrued annually at the employee’s base rate.
• 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 (including Women’s Initiative and Young Professionals Initiative).
• Firm-wide charitable giving program.
• Numerous social and off-site events each year.

Location

#li-remote

Equal Opportunity Employer Notice

The employer is an Equal Opportunity Employer and ensures equal employment opportunity without discrimination or harassment based on 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.

Additional Information

• No recruiters/agencies.