Lien Representative in Long Beach, CA

Law Firm

Long Beach, CA

Lien Representative in Long Beach, CA

Law Firm Non Legal Department

1-3 yrs required

No

Position Title: Lien Representative
Reports To: Lien Resolution Manager
Job Type: Full-Time Remote (CA only)

General Job Description:

As a Lien Representative at the law firm, you will be tasked with the timely and accurate resolution of Workers’ Compensation lien claims for our clients. Your role will involve reviewing both medical and non-medical billing, assessing exposure, preparing files for negotiation or litigation, and ensuring adherence to California Workers’ Compensation regulations and billing guidelines. Your work is essential in minimizing liability and supporting effective case resolution strategies.

Job Responsibilities:

1. **File Review & Resolution Preparation**
- Review and analyze lien claims to assess validity, billing practices, and exposure.
- Compare billed services to accepted body parts and treatment authorization; identify issues related to duplication, over-utilization, and unsupported charges.
- Audit bills in accordance with the Official Medical Fee Schedule (OMFS), MTUS guidelines, and the DIR Drug Formulary.
- Identify inappropriate billing practices, such as unbundled CPT codes, incorrect fee schedule application, overpricing, or off-formulary medications.
- Research and document billing disputes to support negotiation or litigation.
- Prepare case summaries, authority requests, and recommendations for resolution.
- Organize findings to enable litigation or hearing representatives to proceed confidently with hearings if necessary.

2. **Discovery & Exhibit Preparation**
- Assist in the preparation and e-filing of Discovery and Trial Exhibits, using internal templates to ensure compliance with WCAB requirements.
- Verify that documents are properly served and admissible.
- Support Hearing Representatives with pre-trial documentation.

3. **Negotiations & WCAB Appearances**
- Negotiate settlements with lien claimants, such as interpreters, chiropractors, and imaging centers, via phone or email.
- Under guidance, participate in lower-complexity WCAB lien appearances or OTOCs.
- Apply legal, medical, and technical knowledge to reduce settlement values.

4. **Billing**
- Responsible for billing 8–10 hours per day, following established billing guidelines.
- Ensure accurate logging of time and that all billed activity reflects productive, client-facing work.
- Discuss any exceptions or non-billable tasks with management in advance.
- Billing compliance is a key performance metric and is regularly reviewed by leadership.

5. **Case Management & Reporting**
- Maintain accurate, detailed notes in the case management system.
- Regularly update internal databases and trackers.
- Submit timely, professional reports following established templates and protocols.
- Proficiency in systems such as A1, ProLaw, Merus, or PerfectLaw is highly preferred.

6. **Special Projects**
- Participate in special assignments such as bulk settlements, client audits, or file closure projects.
- Assist with intake or file audits as needed.

Work Environment:

- Regular business hours (M–F typically 8:30-5pm).
- Primarily remote; occasional travel to WCAB locations may be required.
- Must be able to lift up to 15 lbs for file transport during in-person events or special projects.

Education and Experience Information:

- 1–3+ years of experience in lien defense within Workers’ Compensation (defense firm experience strongly preferred).
- Solid understanding of California WCAB procedures, OMFS, MTUS, and EAMS.
- Strong organizational and time management skills.
- Excellent communication (written and verbal) and negotiation abilities.
- Familiarity with medical billing codes, provider profiling, and treatment authorization processes.
- Paralegal certificate or equivalent legal education/training is a plus.

Performance Expectations:

- Meet or exceed daily billing goals.
- Demonstrate accuracy and professionalism in all reporting and file handling.
- Communicate clearly and effectively with clients and opposing parties.
- Represent the law firm professionally in all negotiations and WCAB interactions.
- Comply with company policies and procedures at all times.

Salary Information:

The text does not provide specific salary information for the Lien Representative position.