The Managing Accountant for the Medical Billing Negotiation (MBN) Team is responsible for overseeing the financial tracking, reporting, and strategic management of all settled cases pending medical bill negotiations. This role ensures the firm maintains an accurate and up-to-date aging of cases awaiting negotiation, while driving analysis and process improvements to accelerate negotiations and expedite fund recovery.
The position serves as the
financial lead for the MBN pipeline
, transforming case data into actionable insights that support faster negotiations, improved cash flow, and operational accountability.
Key Responsibilities
1. Case Aging & Financial Reporting
Maintain and monitor a
real-time aging report of all settled cases pending medical bill negotiation
.
Track negotiation timelines and identify cases that exceed standard processing benchmarks.
Provide
weekly and monthly reports
to leadership on the status and movement of the negotiation pipeline.
2. Inventory Analysis & Pipeline Management
Analyze the
inventory of cases awaiting negotiation
to identify bottlenecks, delays, and prioritization opportunities.
Segment cases based on
settlement value, medical lien complexity, and negotiation stage
.
Recommend strategies to
accelerate negotiations and reduce aging of receivables
.
3. Financial Oversight & Reconciliation
Ensure financial data related to settlements, medical bills, and negotiated reductions are
accurately recorded and reconciled
.




Work closely with the
finance team, negotiators, and case managers
to verify settlement allocations and lien resolutions.
4. Operational Efficiency & Process Improvement
Develop
tracking systems, dashboards, and performance metrics
for the MBN team.
Identify workflow inefficiencies and propose
process improvements to expedite negotiations and collections
.
Support leadership in establishing
KPIs for negotiation turnaround times and backlog reduction
.
5. Cross-Department Coordination
Serve as the
financial liaison between Finance, Negotiation, and Legal teams
.
Ensure transparency and alignment regarding
case status, expected collections, and outstanding medical obligations
.
Strategic Objective
The Managing Accountant ensures the firm maintains
full visibility over its post-settlement negotiation pipeline
, enabling leadership to:
Maintain
accurate aging of negotiated settlements
Reduce backlog
of cases pending negotiation
Accelerate collections and case closure
Strengthen
financial forecasting and cash flow management
Adecuado Profile
Strong background in
accounting, financial analysis, or settlement accounting
Experience with
case inventory management, aging reports, and financial reconciliation
Advanced proficiency in
data analysis, reporting tools, and case management systems
Ability to translate complex data into
operational and strategic insights

📌 Managing Accountant (Tijuana)
🏢 Legal Management Group
📍 Tijuana