We are seeking a dedicated and detail-oriented Case Manager experienced in lien negotiations to join our team. The primary function of this role is to coordinate medical treatment for client's whose cases are in litigation and negotiate post-settlement liens, including health insurance liens, hospital liens, private medical provider liens, and state and federal medical provider liens.
Responsibilities:
· Work closely with attorneys and litigation staff to coordinate and schedule medical treatment for clients after case is in litigation· Review medical records and client files to identify all related bills and liens.· Maintain and update client files by reviewing case notes and tracking treatment progress.· Communicate with clients and healthcare providers about medical treatment· Prepare medical summaries and chronologies to assist attorneys in case preparation.
· Compile and tabulate all associated client costs, medical bills, and fees
· Report all statutory liens, including Medi-Cal, Medicare, private health insurance.
· Communicate with providers and creditors to confirm lien amounts and negotiate liens
· Maintain accurate and detailed records of all negotiations, agreements, and communications pertaining to lien resolution
· Draft reduction letters to resolve and negotiate medical liens
· Negotiate all medical liens, Medpay reimbursement claims, waivers, and attorney liens in settled personal injury cases.
· Serve as the contact for clients after case resolution to provide regular updates and correspond by phone and email with creditors and providers
· Draft closing documents and disbursement statements.
· Issue checks to providers and clients.· Assist in trial preparation (organizing exhibits, preparing binders, bate stamping, and document audits).
· Complete other office tasks assigned by management.
Qualifications:
- Minimum 3 years of experience in Case Management and personal injury lien negotiations.
- Strong working knowledge of various governmental healthcare provider policies and procedures for lien negotiation and resolution (e.g., Medicare, Medi-Cal, Medicaid, private health insurance).
- Familiarity with industry practices and procedures in lien negotiation and resolution with health insurance providers, private healthcare providers, and hospital/ER/EMS providers.
- Experience working with medical bills and records.
- Familiarity with Microsoft Office Suite (Outlook, Word, Excel) and other applications/systems.
- Excellent written and verbal communication skills.
- Highly organized, detail-oriented, and demonstrates a sense of urgency.
- Punctual, excellent in time management, and interested in building a career.
- Spanish-speaker required
Benefits:
- 401(k) with matching
- Health insurance
- Paid sick time
If you meet the qualifications and are interested in this opportunity, we encourage you to apply and join our team!