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Medical Lien Case Specialist

1 month ago

Las Vegas, Nevada, United States Pouya Mohajer M D LTD Full time
Job Title: Medical Lien Case Specialist

Pouya Mohajer M D LTD is seeking a highly skilled Medical Lien Case Specialist to join our team. As a Medical Lien Case Specialist, you will be responsible for managing and processing medical liens associated with personal injury and workers' compensation cases.

Key Responsibilities:
  • Medical Lien Management:
    • Oversee all aspects of medical lien case processing, including creating, tracking, and resolving medical liens.
    • Communicate regularly with attorneys, insurance adjusters, and medical providers to ensure liens are handled appropriately and on time.
    • Manage the submission of medical liens and related documentation, ensuring that claims are correctly filed and follow legal requirements.
  • Billing and Documentation:
    • Process medical billing associated with lien cases, ensuring accuracy and adherence to medical coding and legal standards.
    • Review, prepare, and organize patient medical notes and records to support billing and lien claims.
    • Maintain up-to-date and accurate patient records, ensuring all necessary documentation is on file to support medical lien claims.
  • Lien Negotiations and Settlements:
    • Collaborate with attorneys and insurance companies to negotiate settlements or reductions of liens as necessary.
    • Track and follow up on outstanding liens to ensure timely collection and settlement.
    • Ensure compliance with state and federal regulations regarding lien settlements and billing practices.
  • Communication and Coordination:
    • Serve as the primary point of contact for attorneys, patients, and insurance companies regarding lien status, settlements, and case updates.
    • Coordinate with internal departments, such as the medical billing team, to ensure lien cases are processed accurately and efficiently.
  • Reporting and Compliance:
    • Prepare and maintain reports on the status of medical liens, including outstanding balances and expected settlements.
    • Ensure compliance with HIPAA, state, and federal laws governing medical billing and lien cases.

Qualifications:

  • Education:
    • High school diploma or equivalent required; associate's degree in healthcare administration, business, or related field preferred.
  • Experience:
    • Minimum of 2-3 years of experience in medical billing, lien case management, or a related field.
    • Experience with personal injury and workers' compensation cases is highly preferred.
  • Skills:
    • Strong knowledge of medical billing procedures, medical terminology, and legal aspects of lien management.
    • Excellent communication and negotiation skills, with the ability to work effectively with attorneys, insurance companies, and medical staff.
    • Proficient in medical billing software and Microsoft Office Suite (Word, Excel).
    • Strong organizational skills with the ability to handle multiple cases simultaneously and meet deadlines.
  • Certifications (Preferred):
    • Certified Medical Reimbursement Specialist (CMRS) or similar certification.
    • Certification in Medical Billing and Coding (CPC or CBCS).

Working Conditions:

  • Office-based with occasional need for remote coordination.
  • Ability to work in a fast-paced environment with tight deadlines.

Compensation:

  • Competitive salary based on experience.
  • Benefits package including medical, dental, vision, and retirement plan options.