Lien Representative
Albert & Mackenzie, LLP, California, MO, United States
Overview
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 five consecutive years (2021–2025), 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
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.
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.
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.
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.
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.
Special Projects
Participate in special assignments such as bulk settlements, client audits, or file closure projects.
Assist with intake or file audits as needed.
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.
Accepted file types: pdf, doc, docx, txt, rtf
Voluntary Self-Identification
For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.
As set forth in Albert & Mackenzie, LLP’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.
Voluntary Self-Identification of Disability
Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.
#J-18808-Ljbffr
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 five consecutive years (2021–2025), 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
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.
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.
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.
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.
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.
Special Projects
Participate in special assignments such as bulk settlements, client audits, or file closure projects.
Assist with intake or file audits as needed.
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.
Accepted file types: pdf, doc, docx, txt, rtf
Voluntary Self-Identification
For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.
As set forth in Albert & Mackenzie, LLP’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.
Voluntary Self-Identification of Disability
Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.
#J-18808-Ljbffr