Billing Appeals Specialist

About This Role

This role supports attorneys by managing the appeals process for insurance invoices, ensuring timely and accurate submissions to maximize recovery. The specialist will collaborate with billing and appeals teams to improve processes and maintain strong client service.

Responsibilities

• Manage the appeals process for insurance carriers' invoices
• Draft narratives for attorney approval to optimize appeal success rates
• Manage deadlines for all appeals to ensure maximum recovery from clients
• Send exception reports and timely follow up reminders for appeal language
• Maintain an appeal log to monitor invoice status and outstanding accounts receivables
• Communicate with in-house attorneys and answer questions regarding invoice issues and the appeal process
• Collaborate with the Appeals Team, its Director, and Billing & Collections to identify opportunities to decrease reductions with Outside Counsel Guidelines
• Stay informed of changes to insurance carriers' Outside Counsel Guidelines and assess their impact on existing processes and procedures
• Participate in process improvement by evaluating current protocols and addressing questions/issues
• Identify opportunities for process improvements and enhancements to training to prevent future issues
• Promote a high level of customer service; ensure excellent service to the firm's Principals and clients

Requirements

• Bachelor's degree
• 2+ years of legal billing/appeals experience
• Strong MS Office skills (Excel, Word)
• Highly Organized
• Excellent communication and problem-solving skills
• Ability to learn and adapt in an ever-changing environment

Qualifications

• Bachelor's degree
• 2+ years of legal billing/appeals experience

Nice to Have

• Knowledge of Aderant
• Knowledge of BillBlast

Skills

* Required skills