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Medical Lien Jobs (NOW HIRING)

Albert & Mackenzie, LLP

Lien Representative

Los Angeles, CA

$60K - $79K/yr

As a Lien Representative, you will be responsible for the timely and accurate resolution of Workers ... This includes reviewing medical and non-medical billing, assessing exposure, preparing files for ...

TORKLAW

Lien Reduction Specialist

Chicago, IL · On-site

$60K - $70K/yr

Independently negotiate medical liens with healthcare providers, insurance companies, and other relevant parties * Secure optimal lien reductions that maximize client recoveries * Review and analyze ...

Sweet James

Lien Specialist

Newport Beach, CA · On-site

Communicating with medical providers, health insurance companies, attorneys, and all other outstanding lien holders via phone, fax, and email Negotiate lien resolution within parameters set by the ...

TORKLAW

Lien Reduction Specialist

Irvine, CA · On-site

$60K - $70K/yr

Independently negotiate medical liens with healthcare providers, insurance companies, and other relevant parties * Secure optimal lien reductions that maximize client recoveries * Review and analyze ...

TORKLAW

Lien Reduction Specialist

Las Vegas, NV · On-site +1

$60K - $70K/yr

Independently negotiate medical liens with healthcare providers, insurance companies, and other relevant parties * Secure optimal lien reductions that maximize client recoveries * Review and analyze ...

Sweet James

Lien Specialist

Newport Beach, CA · On-site

Primary Duties will include: • Communicating with medical providers, health insurance companies, attorneys, and all other outstanding lien holders via phone, fax, and email • Negotiate lien ...

TORKLAW

Lien Reduction Specialist

Chicago, IL

$60K - $70K/yr

Independently negotiate medical liens with healthcare providers, insurance companies, and other relevant parties * Secure optimal lien reductions that maximize client recoveries * Review and analyze ...

TORKLAW

Lien Reduction Specialist

Las Vegas, NV · On-site

$60K - $70K/yr

Independently negotiate medical liens with healthcare providers, insurance companies, and other relevant parties * Secure optimal lien reductions that maximize client recoveries * Review and analyze ...

TORKLAW

Lien Reduction Specialist

Irvine, CA · On-site

$60K - $70K/yr

Independently negotiate medical liens with healthcare providers, insurance companies, and other relevant parties * Secure optimal lien reductions that maximize client recoveries * Review and analyze ...

Jacoby & Meyers

Lien Negotiator

Los Angeles, CA · Remote

$24 - $28/hr

Job Title: Lien Negotiator Pay Range: $24.00/hour - $28.00/hour Type of Position: Full Time ... Obtaining final medical balances at settlement * Assemble, organize, and itemize client medical ...

Jacoby & Meyers

Lien Negotiator

Los Angeles, CA · Remote

Job Title: Lien Negotiator Pay Range: $24.00/hour - $28.00/hour Type of Position: Full Time ... Obtaining final medical balances at settlement * Assemble, organize, and itemize client medical ...

Jacoby & Meyers

Lien Negotiator

Los Angeles, CA · Remote

$24 - $28/hr

Job Title: Lien Negotiator Pay Range: $24.00/hour - $28.00/hour Type of Position: Full Time ... Obtaining final medical balances at settlement * Assemble, organize, and itemize client medical ...

Jacoby & Meyers

Lien Negotiator

Los Angeles, CA · On-site

$24 - $28/hr

Job Title: Lien Negotiator Pay Range: $24.00/hour - $28.00/hour Type of Position: Full Time ... Obtaining final medical balances at settlement * Assemble, organize, and itemize client medical ...

Archer Systems

Lien Resolution Specialist

Austin, TX · On-site

Other services include claims administration, single event lien resolution, probate and bankruptcy coordination, release administration, medical records review, and plaintiff fact sheet and other ...

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Medical Lien information

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$49.5K

$68K

$88K

How much do medical lien jobs pay per year?

As of Jun 10, 2026, the average yearly pay for medical lien in the United States is $67,979.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,000.00 and $74,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medical Lien Specialist, and why are they important?

To thrive as a Medical Lien Specialist, you need a solid understanding of medical billing, lien laws, and healthcare reimbursement processes, often supported by experience in medical administration or legal environments. Familiarity with medical billing software, lien management systems, and EHR platforms is typically required. Strong attention to detail, organizational skills, and clear communication are crucial soft skills for effectively managing case documentation and collaborating with attorneys and healthcare providers. These skills ensure accurate processing of liens, timely payments, and compliance with legal and medical regulations.

What is a medical lien?

A medical lien is a legal claim that healthcare providers place on any settlement or judgment you may receive from a personal injury case. This allows the provider to be paid directly from the proceeds of your claim for medical services rendered, especially when you cannot pay upfront. Medical liens are commonly used when patients do not have health insurance or are awaiting the outcome of a legal case to cover their medical expenses. The lien ensures that the provider gets compensated once your case is resolved. It's important to understand your state's laws regarding medical liens and to discuss them with your attorney if you're involved in a personal injury case.

What are some common challenges faced when managing medical liens, and how can they be effectively addressed in this role?

Professionals working with medical liens often encounter challenges such as coordinating communication between healthcare providers, attorneys, and insurance companies, as well as ensuring timely documentation and payment processing. Navigating complex regulatory requirements and managing a high volume of cases can also be demanding. To address these challenges, strong organizational skills, attention to detail, and proactive follow-ups with all parties involved are essential. Building collaborative relationships and staying updated on relevant legal and industry changes can further enhance efficiency and accuracy in managing medical liens.
More about Medical Lien jobs
What cities are hiring for Medical Lien jobs? Cities with the most Medical Lien job openings:
What states have the most Medical Lien jobs? States with the most job openings for Medical Lien jobs include:
What job categories do people searching Medical Lien jobs look for? The top searched job categories for Medical Lien jobs are:
Medical Lien jobs near you
Infographic showing various Medical Lien job openings in the United States as of June 2026, with employment types broken down into 1% Locum Tenens, 1% Full Time, 65% Part Time, 1% Temporary, 31% Contract, and 1% Nights. Highlights an 94% Physical, 3% Hybrid, and 3% Remote job distribution, with an average salary of $67,979 per year, or $32.7 per hour.
Lien Representative

Lien Representative

Albert & Mackenzie, LLP

Los Angeles, CA

$60K - $79K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description

Albert & Mackenzie is a well-established and expanding workers' compensation defense law firm with a strong presence across California. Proudly recognized as a Great Place to Work for six consecutive years (2021–2026), the firm has also earned multiple Best Places to Work awards.

As a Lien Representative, you will be responsible for the timely and accurate resolution of Workers' Compensation lien claims on behalf of our clients. This includes reviewing medical and non-medical billing, assessing exposure, preparing files for negotiation or litigation, and ensuring compliance with applicable California Workers' Compensation regulations and billing guidelines. Your work plays a vital role in reducing liability and supporting effective case resolution strategies.

Key Responsibilities Include but Are Not Limited To:

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; flag issues related to duplication, over-utilization, and unsupported charges.
  • Audit bills in line with the Official Medical Fee Schedule (OMFS), MTUS guidelines, and the DIR Drug Formulary.
  • Identify inappropriate billing (e.g., 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 in a manner that allows litigation or hearing representatives to proceed confidently with hearings if needed.

2. Discovery & Exhibit Preparation

  • Assist in the preparation and e-filing of Discovery and Trial Exhibits, including the use of 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 (e.g., interpreters, chiropractors, imaging centers) via phone or email.
  • Under guidance, participate in lower-complexity WCAB lien appearances or OTOCs.
  • Apply legal, medical, and technical knowledge to drive down settlement values.

4. Billing

  • Responsible for billing 8–10 hours per day, in accordance with established billing guidelines.
  • Ensure that time is logged accurately and that all billed activity reflects productive, client-facing work.
  • Any exceptions or non-billable tasks must be discussed with management in advance.
  • Billing compliance is a key performance metric and will be regularly reviewed by leadership.

5. Case Management & Reporting

  • Maintain accurate, detailed notes in the case management system.
  • Update internal databases and trackers regularly.
  • 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.

Qualifications:

  • 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 firm professionally in all negotiations and WCAB interactions.
  • Comply with company policies and procedures at all times.

Albert & Mackenzie ensures equal opportunity for all applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other legally protected characteristics.

Full-time employees receive a competitive compensation package that features discretionary bonus opportunities and a comprehensive benefits program, including medical, vision, short-term and long-term disability, life insurance, a 401(k) retirement plan, paid time off, and optional dental coverage.

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