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 to numerous defense verdicts across the nation. We invest in our people with specialized training in our proven defense methods, clear paths to leadership, and robust professional development.
Billing Compliance Auditor
Location
United States
Posted
2 days ago
Salary
$30 - $37 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Billing Compliance Auditor
Tyson & Mendes LLP
Role Description 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 - Conduct front-end pre-bill audits for insurance defense matters before invoices are submitted to carriers. - Perform line-by-line invoice review to verify accuracy, reasonableness, and compliance with carrier billing guidelines and UTBMS task codes. - Identify billing discrepancies based on carrier requirements, industry standards, and litigation practices and make corrections before submission. - Communicate directly with attorneys, paralegals, and billing staff to resolve non-compliant entries, including navigating pushback with professionalism and persistence. - Prepare, submit, and track formal billing appeals; coordinate with the billing department to adjust invoices following appeal outcomes. - Build and analyze compliance reports in Excel to identify timekeeper performance trends and systemic billing issues. - Escalate recurring billing trends or compliance risks to management for resolution. - Manage the Billing Compliance inbox, triaging and prioritizing incoming requests. - Contribute to special projects including large-scale compliance initiatives and carrier-specific audit reviews as assigned. - 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. Qualifications - 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. - Proven ability to audit billable hours for attorneys, paralegals, and other timekeepers prior to carrier submission. - Strong knowledge of UTBMS task codes, carrier billing rules, and common rejection reasons. - Demonstrated experience preparing and submitting successful billing appeals including strong written communication skills and the ability to construct persuasive, well-documented appeal narratives. - 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. - High comfort operating in a high-volume billing environment with competing deadlines, shifting priorities, and periodic large-scale special projects. - Demonstrated ability to exercise sound independent judgment when billing guidelines are ambiguous or silent, acting in alignment with the spirit of carrier guidelines. - Strong written and verbal communication skills with a professional, direct style. Requirements - 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. - Direct litigation experience in an insurance defense, civil litigation, or related legal setting. - Familiarity with carrier billing portals and billing guidelines across multiple major insurance carriers (P&C, commercial, and specialty lines). - Experience with e-billing platforms such as CounselLink, Bottomline/Legal eXchange, Legal Tracker, BillBlast, TyMetrix 360, or similar. - Familiarity with billing guidelines across multiple insurance carriers. - Bachelor's degree or equivalent combination of education and direct experience. Benefits - The hourly pay range of $30-37/hour, depending on experience. - Overtime paid at 1.5× the regular hourly rate, as needed. - Comprehensive benefits coverage offered, including plans available at zero employee cost (average annual employee contribution for health/vision/dental coverage is $700-1,700). - Employee Assistance Program through HealthAdvocate. - 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%. - Vacation time is accrued annually at the employee’s base rate. - Paid parental leave at base pay. - Employees receive a monthly technology reimbursement of $60. - 37.5-hour standard workweek designed to promote balance and prevent burnout. - Educational reimbursement program for non-attorney eligible team members (up to $3,500 per calendar year). - Internal diversity and inclusion programs, such as the Women’s Initiative and Young Professionals Initiative. - Firm-wide charitable giving program. - Numerous social and off-site events each year to enrich your relationships with your colleagues.
Related Guides
Related Categories
Related Job Pages
More Auditor Jobs
Independent Contractor - Senior Aerospace Auditor
NSF InternationalNSF International, formerly known as the National Sanitation Foundation, is an award-winning, nonprofit, non-governmental organization headquartered in Ann Arbor, Michigan. Founded
Role Description We are looking to expand our team with the addition of a Senior Aerospace Auditor - Independent Contractor to conduct 3rd party audits for NSF's aerospace clients. The Independent Contractor Auditor will be responsible for: - Communicating effectively with external clients - Communicating effectively with internal Account Managers Qualifications - Experience in aerospace auditing - Strong communication skills - Ability to work independently Requirements - Relevant certifications in aerospace auditing - Proven track record in conducting audits Benefits - Flexible working hours - Opportunity to work with a diverse team - Impactful work that contributes to global health and safety
Residential Energy Auditor
Resource InnovationsA women-led clean energy solutions company, ranked #10 in the energy category on the 2022 Inc. 5000 list.
• Perform on-site residential energy audits • Use diagnostic tools to assess air leakage and energy performance • Collect and analyze utility data and building specifications • Educate homeowners about energy-saving opportunities • Collaborate with contractors and program managers • Maintain accurate records and submit documentation
Senior IT Auditor
RemoteThe easier way to employ globally. Remote builds belonging for your team with payroll, benefits, & compliance solutions.
Role Description The IT Internal Auditor audits information systems, platforms, and operating procedures in accordance with established corporate standards for efficiency, accuracy, and security. This role also evaluates IT infrastructure in terms of risk to the organization and establishes controls to mitigate loss, determines and recommends improvements in current risk management controls, and is responsible for implementation of system changes or upgrades at the Corporate office. Essential Duties and Responsibilities - Prepares and follows audit programs to conduct audits in accordance with the annual audit plan. - Responsible for developing test procedures for IT general controls, automated business process controls, and key reports. - Performs technical assessments/analyses of systems, general controls, and application systems using risk assessment techniques. - Identifies risk factors of automated functions and controls, related manual procedures, and general control environment. - Responsible for the overall preparation, review, and execution of organization-wide IT Sarbanes Oxley (SOX) control tests. - Maintains and keeps up to date SOX testing tools with accurate test procedures, results of test work, evidence, conclusions, etc. - Assists with development of SOX content and general controls. - Analyzes data obtained for evidence of deficiencies in controls, duplication of efforts, extravagance, fraud, or lack of compliance. - Presents audit issues to Internal Audit Management for the development of reports and recommendations. - Performs observations of departmental procedures to ensure compliance and operational efficiencies. - Completes audit files with working papers referenced to the audit programs. - Liaises with external auditors to communicate information and resolve problems. - Maintains audit files, ensuring they contain planning memos, programs, and reports. - Assists in planning the theory and scope of audits and related audit programs. - Enthusiastically supports, actively promotes, and demonstrates superior customer service. - Participates in meetings and training as required. - Maintains complete confidentiality of all company information at all times. - Ensures that behavior and appearance are in compliance with established standards. - Maintains a professional work environment with management and staff. - Performs all job duties in a safe and responsible manner. - Responsible for ensuring compliance with all regulatory compliance within area of responsibility. Qualifications - Must be at least 21 years of age. - Bachelor’s degree (B.A./B.S.) from a four-year college or university in Finance, Accounting, or related field required. - CPA, CIA, CITP, or CISA certification strongly desired. - Two or more years’ experience with SOX 404 compliance and internal controls evaluation. - Familiarity with PCI Data Security Standards version 3.1 required. - Minimum of three years of combined technology and Internal Audit experience and/or training. - Familiarity with standards, concepts, practices, and procedures with Sarbanes-Oxley Act preferred. - Must be able to travel up to 30%. - Advanced skills in Microsoft applications (Word, Excel, PowerPoint, and Outlook). - Excellent verbal and written communication skills. - Ability to add, subtract, multiply, and divide in all units of measure. - Ability to effectively present information and respond to questions from groups. - Ability to write reports, business correspondence, and procedural manuals. - Must have the ability to interact with guests, staff, and colleagues diplomatically. - Must be able to maintain confidentiality and a high level of professionalism at all times. Starting Salary $85,000
Senior Stoploss Claim Auditor
BlueCross BlueShield of South CarolinaSouth Carolina’s largest and oldest health insurance company
• Audit and authorize reimbursement of specific medical stop loss claims • Recognize cost mitigation opportunities • Authorize and release stop loss claims reimbursement checks • Initiate claims investigations and vendor referrals • Interpret plan language, and identify experimental services and subrogation opportunities • Identify need for follow-up on pended claims and resolution


