Lien Negotiator, Personal Injury
Harris Computer · California, United States · 2 days ago
OTHRFull-time
Key Responsibilities
- Manage a portfolio of California Personal Injury accounts from assignment through resolution, utilizing strategic collection efforts to maximize recoveries.
- Conduct professional negotiations with attorneys, insurance carriers, adjusters, and third-party administrators in accordance with established SOPs and workflow standards.
- Monitor case progression, document all account activity, and ensure assigned accounts remain within established follow-up timelines and performance benchmarks.
- Identify barriers to resolution and promptly escalate accounts requiring legal, managerial, or strategic review to the PI Manager.
- Meet or exceed established performance metrics, including collections, account aging, follow-up compliance, productivity, and resolution timelines.
California Market Expertise
- Apply advanced knowledge of California Personal Injury lien laws, settlement processes, and payer practices to develop effective recovery strategies.
- Navigate the complexities of California Personal Injury billing, including attorney liens, Letters of Protection (LOPs), liability insurance claims, and settlement negotiations to maximize account recovery.
- Stay informed of changes to California legislation, case law, payer practices, and industry trends that may impact collection strategies or recovery outcomes.
- Serve as the department's primary resource for California Personal Injury collections, providing guidance on complex accounts, lien disputes, settlement negotiations, and procedural questions.
Leadership, Mentorship & Team Development
- Share best practices, negotiation techniques, and workflow knowledge to strengthen team performance and promote operational consistency.
- Model professionalism, accountability, and effective communication in all interactions with attorneys, adjusters, clients, and internal stakeholders.
- Assist with onboarding and training new team members on department systems, workflows, SOPs, and California PI collection practices.
- Identify opportunities for team development and communicate training needs or process improvements to the PI Manager.
Documentation & Workflow Compliance
- Maintain accurate, detailed, and timely documentation of all account activity, correspondence, negotiations, and case updates within CONEXEM and the department's shared Live Excel report.
- Ensure full compliance with department SOPs, documentation standards, HIPAA requirements, and company policies.
- Support internal audits and quality assurance initiatives by maintaining complete, accurate, and audit-ready account records.
- Recommend workflow enhancements that improve efficiency, compliance, and collection performance.
Collaboration & Communication
- Partner with the PI Manager to develop and execute account strategies aligned with departmental goals and client expectations.
- Collaborate with Case Status Representatives, Account Representatives, Billing, and Payment Posting teams to ensure seamless account progression and issue resolution.
- Communicate collection trends, payer behaviors, operational risks, and account escalations to leadership in a timely manner.
- Actively participate in team meetings, performance discussions, training initiatives, and process improvement efforts as a senior contributor.
Qualifications
Required:
- 4+ years of experience in California Personal Injury collections, with demonstrated expertise in lien recovery, attorney negotiations, and settlement follow-up.
- Strong working knowledge of California Personal Injury lien laws, Letters of Protection (LOPs), med-legal billing, and liability insurance claims.
- Proficiency with EMR and collections management systems, including the ability to maintain accurate account documentation and reporting.
- Proven ability to independently manage a high-volume, complex portfolio of Personal Injury accounts while consistently meeting performance expectations.
- Excellent written, verbal, and negotiation skills, with the ability to communicate effectively with attorneys, law office staff, insurance adjusters, and internal stakeholders.
- Demonstrated leadership, mentorship, or subject matter expertise within a collections or revenue cycle environment.
- Strong analytical and problem-solving skills with the ability to develop effective collection and negotiation strategies.
Preferred:
- Experience working within a structured Revenue Cycle Management (RCM) environment with established SOPs, quality standards, and KPI-driven performance metrics.
- Advanced knowledge of California Personal Injury settlement processes, lien enforcement, and attorney negotiations.
- Previous experience in a Lead Collector, Senior Collector, Lien Negotiator, or similar senior-level collections role.
- Experience assisting with employee onboarding, training, coaching, or process improvement initiatives.
Key Performance Indicators (KPIs)
- Collections Performance: Achieve assigned monthly and quarterly collection targets for the California PI portfolio. (Monthly)
- Escalation Accuracy: Percentage of accounts correctly identified and escalated to the PI Manager for legal, managerial, or strategic intervention. (Monthly)
- Aging & Recovery Rate: Reduction in 90+ day aged receivables and recovery rate on assigned PI accounts. (Quarterly)
- Settlement Cycle Time: Average time from demand or negotiation initiation to settlement or final disposition on accounts where settlement authority is held. (Quarterly)
- Compliance & Documentation: Adherence to SOPs, follow-up cadence, and audit-ready documentation within the CONEXEM software. (Ongoing)
- Client & Provider Satisfaction: Feedback from client and law office contacts on responsiveness, professionalism, and case outcomes. (Quarterly)
- Customer Service Excellence: Clarity of communication on complex case issues and professional communication standards in all attorney, adjuster, and provider interactions. (Ongoing)
- Mentorship & Team Development: Active coaching of junior Collectors and Account Representatives, contribution to onboarding and training of new hires, and proactive identification of team knowledge gaps surfaced to the PI Manager. (Quarterly)
90-Day Success Milestones
- 0–30 Days: Complete onboarding; review the assigned caseload, active settlements, and aging reports; meet with collections, billing, payment posting, and management stakeholders; shadow current account workflows and case status reporting cadence.
- 31–60 Days: Assume full ownership of the assigned portfolio; identify aged and at-risk accounts; begin direct negotiation and settlement activity on priority files under client guidelines.
- 61–90 Days: Demonstrate measurable movement on aged receivables; deliver first weekly and/or monthly collections and progress reports to internal leadership and client review; provide structured performance and trend feedback to the PI Manager.
- 90+ Days: Operate as the primary settlement authority and collections resource for the assigned portfolio; interactive collaboration with other lien negotiators, collectors, and account reps; contribute to SOP refinement, onboarding materials, and process improvement initiatives across PI operations.