Jobs · OTHR · California

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.

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