Billing Appeals Manager at Jackson Lewis P.C. | NY, US | Rezi

Billing Appeals Manager at Jackson Lewis P.C.

Billing Appeals Manager

Jackson Lewis P.C. · NY, US

1 weeks ago

Billing Appeals Manager

Jackson Lewis P.C. · NY, US

12 days ago
Resume preview

Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

The Billing Appeals Manager leads and oversees the firm's Appeals function, ensuring maximum revenue recovery from audited, reduced, and rejected invoices. This role manages a team of 10-12 Billing Appeals Specialists and acts as the primary subject matter expert for appeals processes, carrier guidelines, and audit reduction strategies.

Responsibilities

  • Lead, mentor, develop, and manage a team of 10-12 Billing Appeals Specialists.
  • Establish performance goals, conduct regular coaching sessions, and complete annual performance evaluations.
  • Monitor team productivity, workload distribution, quality standards, and adherence to appeal deadlines.
  • Foster a collaborative, customer-focused culture that promotes accountability, efficiency, and continuous improvement.
  • Develop and implement training programs to ensure team members remain current on carrier requirements, outside counsel guidelines, billing best practices, and appeals strategies.
  • Manage staffing priorities and ensure adequate coverage to support business needs.
  • Oversee the end-to-end appeals process for insurance carrier and non-insurance invoice reductions, rejections, and audit deductions.
  • Ensure appeals are submitted accurately, timely, and in accordance with client billing guidelines and carrier requirements.
  • Review and assist with complex appeals, escalations, and high-value reductions.
  • Partner with attorneys and billing teams to develop persuasive appeal narratives and supporting documentation designed to maximize recovery.
  • Monitor appeal deadlines and ensure all recovery opportunities are pursued.
  • Maintain oversight of appeal logs, workflows, and tracking tools to ensure accurate reporting and follow-up.
  • Analyze appeal outcomes and identify trends impacting firm revenue.
  • Develop, track, and report key performance indicators, including appeal recovery rates, turnaround times, reduction trends, and team productivity.
  • Analyze audit trends by carrier, client, practice group, and invoice type to identify root causes of reductions.
  • Recommend and implement process improvements designed to increase appeal success rates and reduce future billing deductions.
  • Collaborate with Billing, Collections, Pricing, and Revenue Management leadership to improve billing accuracy and compliance.
  • Lead initiatives focused on workflow automation, operational efficiencies, and enhanced reporting.
  • Evaluate existing procedures and implement best practices to strengthen department performance.
  • Serve as the primary escalation point for attorneys, partners, billing professionals, collections staff, and clients regarding appeals-related questions and issues.
  • Act as a liaison between Revenue Management, legal teams, client representatives, and third-party audit vendors.
  • Provide guidance and recommendations regarding outside counsel guidelines and audit requirements.
  • Develop strong working relationships with firm leadership and key stakeholders to support revenue recovery objectives.
  • Present performance metrics and recovery trends to senior leadership.
  • Monitor compliance with outside counsel guidelines and carrier-specific billing requirements.
  • Produce and analyze departmental reports related to appeals performance, recovery metrics, aged appeals, and team productivity.
  • Ensure accurate maintenance of appeal records and supporting documentation.
  • Identify risks impacting revenue recovery and recommend corrective action plans.

Requirements

  • Minimum 7+ years of legal billing, appeals, revenue management, or invoice auditing experience.
  • Minimum 3+ years of direct people management experience leading teams within an appeals, auditing, legal billing, or revenue cycle environment.
  • Demonstrated experience managing employee performance, coaching teams, and driving operational results.
  • Experience working with insurance carrier audits, outside counsel guidelines, and invoice reduction appeals required.
  • Strong knowledge of legal billing and appeals processes.

Skills

  • Experience with Aderant, BillBlast, Intapp Time, or comparable legal finance systems preferred.
  • Advanced Microsoft Excel skills, including reporting and data analysis.
  • Strong proficiency with Microsoft Office Suite.

Location

  • New York

Work Type

  • Full-time

Experience Level

  • 7+ years of legal billing, appeals, revenue management, or invoice auditing experience
  • 3+ years of direct people management experience

Education Level

  • Bachelor's degree required

Salary/Compensations

  • $130,750 - $152,500
  • Eligible for annual bonuses

Benefits

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

About the Company

  • Focused on employment and labor law since 1958, Jackson Lewis P.C.’s 1,000+ attorneys located in major cities nationwide consistently identify and respond to new ways workplace law intersects business.
  • We help employers develop proactive strategies, strong policies and business-oriented solutions to cultivate high-functioning workforces that are engaged and stable, and share our clients’ goals to emphasize belonging and respect for the contributions of every employee.
  • The Firm is ranked in the First Tier nationally in the category of Labor and Employment Litigation, as well as in both Employment Law and Labor Law on behalf of Management, in the U.S. News - Best Lawyers® “Best Law Firms”.

Equal Opportunity

  • We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status or any other characteristics protected by law.