Billing Appeals Specialist

Jackson Lewis P.C.

$76K — $88K *
Legal & Accounting
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required
  • 2+ years of legal billing/appeals experience
  • Knowledge of Aderant and BillBlast is a plus
  • Strong MS Office skills, particularly in Excel and Word
  • Highly organized with excellent communication skills
  • Strong problem-solving ability
  • Adaptable to an ever-changing environment

Responsibilities

  • Manage the appeals process for insurance invoices
  • Draft narratives for attorney approval to increase appeal success rates
  • Ensure strict deadlines are met for all appeal submissions
  • Maintain an appeal log to track invoice and accounts receivable status
  • Communicate effectively with in-house attorneys regarding invoice queries
  • Collaborate with the Appeals Team to identify and address billing reductions
  • Participate in process improvement initiatives for training and protocol enhancement

Benefits

  • Medical, dental, vision, life, and disability insurance
  • 401(k) Retirement Plan
  • Flexible Spending and Health Savings Accounts
  • Firm-paid holidays, vacation, and sick time
  • Employee assistance program and additional firm benefits
Full Job Description
Job Summary

The Billing Appeals Specialist will represent the accounting department and work as a key member of the appeals team while providing full-service support to attorneys on all appeal questions. With limited supervision, the Specialist will liaise with attorneys and staff to make sure appeals are submitted accurately and in a timely manner, while partnering with billing to fully understand the details and make sure best practices and billing guidelines are followed.

Duties and Responsibilities:
  • Manages the appeals process for insurance carriers' invoices including
    • Drafting narratives for attorney approval to optimize the rate of appeal successes,
    • Managing deadlines for all appeals to ensure maximum recovery from clients,
    • Sending all exception reports and timely follow up reminders for appeal language wherever needed,
    • Maintaining an appeal log to monitor the status of invoices and outstanding accounts receivables.
  • Communicate on behalf of the Finance Department to in-house attorneys and answer questions regarding invoice issues and other aspects of the appeal process.
  • Collaborates with Appeals Team, Appeals Manager, and Billing & Collections to identify opportunities to decrease reductions with the Outside Counsel Guidelines and keeps informed of changes to insurance carriers' Outside Counsel Guidelines, assessing the impact of these changes on existing processes and procedures.
  • Participates in process improvement including evaluating the Firms current protocols via addressing questions and issues arising in normal day activities. Identify opportunities for process improvements as well as enhancements to current training to prevent future issues.
  • Promote a high level of customer service; ensure excellent service is provided to the firm's Principals and clients on both an individual and team basis.


Skills and Educational Requirements:
  • Bachelor's degree Required
  • 2+ years of legal billing/appeals experience.
  • Knowledge of Aderant and BillBlast a plus.
  • Strong MS Office skills (Excel, Word).
  • Highly Organized.
  • Excellent communication and problem-solving skills.
  • Ability to learn and adapt in an ever-changing environment.

#LI-KM1

For Westchester County, NY the expected salary range for this position is between $36.54 and $42.66. The actual compensation will be determined based on experience and other factors permitted by law.

For Albany, NY the expected salary range for this position is between $30.41 and $35.50. The actual compensation will be determined based on experience and other factors permitted by law.

For Illinois the expected salary range for this position is between $33.41 and $39.00. The actual compensation will be determined based on experience and other factors permitted by law.

Jackson Lewis offers a competitive benefits package that includes:

Medical, dental, vision, life and disability insurance • 401(k) Retirement Plan • Flexible Spending and Health Savings Account • Firm-paid holidays, vacation and sick time • Employee assistance program and other firm benefits

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