Billing Compliance Auditor (Law Firm Experience Required)

San Diego2d ago

About the role

<div class="x_elementToProof"> Who We're Looking For… We're looking for a billing compliance professional who has been in the weeds; someone who has audited timekeeper entries line by line, pushed back on attorneys when entries didn't hold up, and written appeals that resulted in successful resolutions. You know your UTBMS codes. You know when a narrative is going to get cut before it ever reaches the carrier. And when the billing guidelines don't have a clear answer, you make a sound judgment call, in alignment with the spirit of carrier guidelines, and own it. This is a high-volume role with real variety, steady audit work, alongside special projects that require you to shift gears quickly, reprioritize, and perform at a high level under pressure. You'll work within a collaborative, fully remote team that communicates directly, respects each other's expertise, and expects everyone to bring their best. If you've spent years building expertise in this niche and you're looking for a team that actually values it, this is for you. This position reports to the Director of Quality Assurance and the Head of Legal Operations, and collaborates closely with the Billing Department. This is a fully remote position. Our entire team works 100% remotely, and we are built to operate that way with strong communication, clear expectations, and mutual accountability. For candidates located near one of our office locations, optional hybrid arrangements are available but never required. The right candidate is someone who takes ownership, communicates proactively, and thrives with autonomy. Responsibilities <ul type="disc"> <li data-olk-copy-source="MessageBody">Conduct front-end pre-bill audits for insurance defense matters before invoices are submitted to carriers</li> <li>Perform line-by-line invoice review to verify accuracy, reasonableness, and compliance with carrier billing guidelines and UTBMS task codes</li> <li>Identify billing discrepancies based on carrier requirements, industry standards, and litigation practices and make corrections before submission</li> <li>Communicate directly with attorneys, paralegals, and billing staff to resolve non-compliant entries, including navigating pushback with professionalism and persistence</li> <li>Prepare, submit, and track formal billing appeals; coordinate with the billing department to adjust invoices following appeal outcomes</li> <li>Build and analyze compliance reports in Excel to identify timekeeper performance trends and systemic billing issues</li> <li>Escalate recurring billing trends or compliance risks to management for resolution</li> <li>Manage the Billing Compliance inbox, triaging and prioritizing incoming requests</li> <li>Contribute to special projects including large-scale compliance initiatives and carrier-specific audit reviews as assigned</li> <li>Exercise sound independent judgment when billing guidelines are ambiguous or silent, acting in alignment with the spirit of carrier guidelines, and communicate your rationale clearly</li> </ul> Requirements <ul type="disc"> <li data-olk-copy-source="MessageBody">Minimum 3–5 years of direct front-end bill review experience in an insurance defense law firm, or equivalent experience with an e-billing platform provider (e.g., CounselLink, Bottomline, Legal Tracker) supporting insurance defense billing compliance, timekeeping oversight, or litigation defense matters</li> <li>Proven ability to audit billable hours for attorneys, paralegals, and other timekeepers prior to carrier submission</li> <li>Strong knowledge of UTBMS task codes, carrier billing rules, and common rejection reasons</li> <li>Demonstrated experience preparing and submitting successful billing appeals including strong written communication skills and the ability to construct persuasive, well-documented appeal narratives</li> <li>Advanced proficiency in Microsoft Excel, including pivot tables, formulas, and building custom reports to identify trends and support audit findings. Excel fluency is essential; we will train on internal processes, but this skill must come with you</li> <li>High comfort operating in a high-volume billing environment with competing deadlines, shifting priorities, and periodic large-scale special projects</li> <li>Demonstrated ability to exercise sound independent judgment when billing guidelines are ambiguous or silent, acting in alignment with the spirit of carrier guidelines</li> <li>Strong written and verbal communication skills with a professional, direct style</li> </ul> Preferred <ul type="disc"> <li>Prior experience as a timekeeper (paralegal, legal assistant, or similar role) in a litigation environment, candidates who have billed time themselves bring a practical understanding of how entries are constructed and where compliance issues originate</li> <li>Direct litigation experience in an insurance defense, civil litigation, or related legal setting</li> <li>Familiarity with carrier billing portals and billing guidelines across multiple major insurance carriers (P&C, commercial, and specialty lines)</li> <li>Experience with e-billing platforms such as CounselLink, Bottomline/Legal eXchange, Legal Tracker, BillBlast, TyMetrix 360, or similar</li> <li>Familiarity with billing guidelines across multiple insurance carriers</li> <li>Bachelor's degree or equivalent combination of education and direct experience</li> </ul>   Compensation Package  </div> <div> <div class="x_elementToProof"> <ul> <li data-leveltext="" data-font="Symbol" data-listid="15" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">The hourly pay range of $30-37/hour, depending on experience</li> <li data-leveltext="" data-font="Symbol" data-listid="15" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Overtime paid at 1.5× the regular hourly rate, as needed</li> <li data-leveltext="" data-font="Symbol" data-listid="15" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Comprehensive benefits coverage offered, including plans available at zero employee cost (average annual employee contribution for health/vision/dental coverage is $700-1,700)</li> <li data-leveltext="" data-font="Symbol" data-listid="15" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Employee Assistance Program through HealthAdvocate</li> <li data-leveltext="" data-font="Symbol" data-listid="15" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Employees benefit from a 401(k) program that includes a 100% match on the first 3% contributed and a 50% match on the following 4-5%</li> <li data-leveltext="" data-font="Symbol" data-listid="15" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Vacation time is accrued annually at the employee’s base rate</li> <li data-leveltext="" data-font="Symbol" data-listid="15" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Paid parental leave at base pay</li> <li data-leveltext="" data-font="Symbol" data-listid="15" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Employees receive a monthly technology reimbursement of $60 </li> </ul> Benefits    <ul> <li data-leveltext="" data-font="Symbol" data-listid="23" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">37.5-hour standard workweek designed to promote balance and prevent burnout</li> <li data-leveltext="" data-font="Symbol" data-listid="23" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Educational reimbursement program for non-attorney eligible team members (up to $3,500 per calendar year)</li> <li data-leveltext="" data-font="Symbol" data-listid="23" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Internal diversity and inclusion programs, such as the Women’s Initiative and Young Professionals Initiative</li> <li data-leveltext="" data-font="Symbol" data-listid="23" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Firm-wide charitable giving program</li> <li data-leveltext="" data-font="Symbol" data-listid="23" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Numerous social and off-site events each year to enrich your relationships with your colleagues </li> </ul> </div> <div class="x_elementToProof"> About Tyson & Mendes  Click here to learn more about the Tyson & Mendes Office!  <a href="https://www.youtube.com/watch?v=WzKWnnbcG_g&t=1s">(944) The Tyson & Mendes Office - YouTube</a>  We’re one of the fastest-growing civil defense firms in the country—known for breaking the mold of the traditional law firm. Our dynamic, diverse team of trial attorneys delivers exceptional results, from landmark cases like Howell v. Hamilton Meats to numerous defense verdicts across the nation.  But we don’t stop at great legal work—we invest in our people. With specialized training in our proven defense methods, clear paths to leadership, and robust professional development, we empower attorneys to grow their careers, build their personal brands, and become leaders in the field.  Follow along with the firm on <a href="http://twitter.com/tysonmendes">Twitter</a> and <a href="https://www.linkedin.com/company/tyson-&-mendes">LinkedIn</a> or visit <a href="https://www.tysonmendes.com">www.tysonmendes.com</a>.   Equal Opportunity Employer Notice  OK, now for the legal copy (we are a law firm, after all). It is Tyson & Mendes’ policy to ensure equal employment opportunity without discrimination or harassment on the basis of 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. By the way, if you read all of this, congratulations – we can already tell your attention to detail is exceptional.  NOTICE TO APPLICANTS/EMPLOYEES OF TYSON & MENDES: Please take notice that the Firm collects certain information about you. For more information on the Firm’s policies, please refer to the document provided <a href="https://acrobat.adobe.com/id/urn:aaid:sc:va6c2:4f283cdf-8cfb-4bf9-8740-2df6e4741aac">here</a>.  No recruiters/agencies  #li-remote </div> </div><div class="content-pay-transparency"><div class="pay-input"><div class="title">Pay Range</div><div class="pay-range">$30—$37 USD</div></div></div>

Perks & benefits

401k
Dental Insurance
Company Retreats
Learning Budget

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