Lien Negotiator

Revelations Executive Search•Beverly Hills, CA

About The Position

The Lien Negotiator is responsible for negotiating post-case medical bills and resolving liens. The role works with medical providers, hospitals, lienholders, clients, attorneys, case managers, and accounting to obtain accurate final lien balances, negotiate reductions, prepare closing statements, and coordinate settlement disbursements. The position also manages case workflows and disputes while ensuring compliance with applicable lien resolution procedures and deadlines.

Requirements

  • One year of related experience is required; qualified candidates will have 1–2 years of related experience.
  • High school diploma or equivalent required, with some coursework.
  • Knowledge of or experience in insurance claims, personal injury, or medical billing.
  • Outstanding customer service skills.
  • Self-starter with professional phone etiquette.
  • Excellent mathematical skills.
  • Knowledge of safety procedures and Material Safety Data Sheets relevant to departmental hazards.

Nice To Haves

  • Associate degree preferred.
  • Bilingual Spanish.

Responsibilities

  • Negotiate and settle medical liens with medical providers, hospitals, and lienholders to reduce outstanding bills and support clients’ financial recovery.
  • Gather, total, and verify outstanding medical bills and lien amounts for resolved cases.
  • Communicate with Medi-Cal, Medicare, private health insurers, and third-party lienholders to obtain and validate final lien balances.
  • Assess pro-rata distributions and calculate appropriate reductions for multiple lienholders in accordance with settlement agreements.
  • Prepare detailed closing statements showing payments, disbursements, and negotiated reductions.
  • Stay current with state and federal lien resolution regulations and procedures, including ERISA, Medicare, and Medi-Cal.
  • Keep clients, attorneys, and medical providers informed throughout the lien resolution process.
  • Collaborate with case managers, attorneys, and accounting to finalize settlements and coordinate payment distribution.
  • Resolve lien disputes by providing supporting documentation and legal arguments to justify further reductions when applicable.
  • Maintain an organized lien negotiation system, meet deadlines, process payments promptly, and complete follow-ups.
  • Review settlement data and negotiation outcomes to improve reduction strategies and maximize client recovery.
  • Manage multiple cases in a fast-paced, high-volume environment while maintaining accuracy and attention to detail.
  • Perform other reasonably related duties as assigned by the Founder, CAO, or designee.
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