<h3 data-pm-slice="1 1 []">Appeals Specialist | Tyson & Mendes</h3> <p><strong>Are you a detail-oriented billing professional who enjoys solving problems, navigating complex billing guidelines, and making a meaningful impact?</strong> Tyson & Mendes is looking for an experienced Appeals Specialist to join our growing team!</p> <p>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.</p> <p><strong>Why Tyson & Mendes?</strong> 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.</p> <p><strong>If you're ready to bring your expertise to a collaborative team where your work truly matters, we'd love to hear from you!</strong></p> <p> </p> <p><span class="TextRun SCXW39406189 BCX0" lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW39406189 BCX0">The Appeals Specialist role is responsible for reviewing and submitting appeal responses in various </span><span class="NormalTextRun SpellingErrorV2Themed SCXW39406189 BCX0">ebilling</span><span class="NormalTextRun SCXW39406189 BCX0"> platforms in an effort to recover reduced invoice amounts. The position </span><span class="NormalTextRun SCXW39406189 BCX0">is responsible for</span><span class="NormalTextRun SCXW39406189 BCX0"> various insurance carriers and will review their reductions, </span><span class="NormalTextRun SCXW39406189 BCX0">create</span><span class="NormalTextRun SCXW39406189 BCX0"> and </span><span class="NormalTextRun SCXW39406189 BCX0">submit</span><span class="NormalTextRun SCXW39406189 BCX0"> appeal emails to the attorneys, and </span><span class="NormalTextRun SCXW39406189 BCX0">submit</span><span class="NormalTextRun SCXW39406189 BCX0"> the completed appeals before their deadlines. They may also </span><span class="NormalTextRun SCXW39406189 BCX0">assist</span><span class="NormalTextRun SCXW39406189 BCX0"> the appeals team lead with various reports and other projects. </span></span><span class="EOP SCXW39406189 BCX0" data-ccp-props="{}"> </span><br><strong><br></strong><strong>Responsibilities</strong></p> <div class="wnVEW"> <div class="Yy5or GNqVo allowTextSelection OuGoX"> <div lang="en-US"> <ul> <li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Manage the appeal process for reduced invoices for insurance carriers.</span></li> <li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1">Generate reports using Word, Adobe, & Excel for legal staff to utilize in crafting comments to appeal.</li> <li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1">Manage appeal deadlines and follow up with legal staff to ensure deadlines are met.</li> <li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1">Utilize various eBilling platforms to submit appeals.</li> <li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1">Communicate with timekeepers, billing specialists, and payables team to resolve issues related to reductions.</li> <li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1">Knowledge of the eBilling/billing process for insurance clients.</li> <li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1">General understanding of insured matter billing and major carrier guidelines.</li> <li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"&g