30 sep
|
Legal Management Group
|
Guadalajara
30 sep
Legal Management Group
Guadalajara
Medical Billing Negotiation Manager
Position Overview
Farahi Law Firm is an award-winning personal injury firm dedicated to fighting for the injured and delivering exceptional legal representation. We are a fast-growing, client-centric team that values aggressive advocacy, innovation, and community impact.
The Medical Billing Negotiation
Manager leads the firm's medical billing negotiation team, owning both hands-on negotiation with healthcare providers and insurers and the day-to-day management of the negotiation team. This is a working-manager role: roughly 75% of time is spent on team leadership and management, and 25% on direct, hands-on negotiation work.
Key Responsibilities
Team Leadership & Management (~75%)
- Lead, coach, and manage the medical billing negotiation team (8 team members).
- Distribute case load across the team and monitor team productivity using Filevine.
- Support team development and performance management.
Negotiation & Case Work (~25%)
- Negotiate Medical Bills: communicate with healthcare providers and insurance companies to negotiate medical expenses and reduce costs associated with client treatment.
- Insurance Liaison: work with health insurance providers and verify policies, ensuring medical expenses are covered or reduced to a fair amount.
- Financial Documentation: ensure all medical billing documents, insurance claims, and records are accurately documented, tracked, and organized in Filevine.
- Customer Service: provide exceptional customer service by handling sensitive negotiations with professionalism, respect, and empathy.
- Collaborate with Internal Teams: work with the health insurance liens team and other departments to streamline billing processes, provide case updates, and ensure medical expenses are handled promptly.
- Coordinate with Finance on distributions, checks, and related payment processing — providing accurate information to support Finance's reconciliation and forecasting, without owning forecasting directly.
- Process Improvement: continuously look for opportunities to streamline workflows and improve billing processes.
Requirements & Qualifications
Required
- 4+ years of experience in medical billing negotiation, insurance claims, or a related field.
- 5+ years of team-leadership experience.
- Fluency in English and Spanish (bilingual required).
- Working knowledge of Filevine.
- Working knowledge of medical liens, Medicare, Medicaid, and ERISA.
- Comfortable providing financial information to support Finance's reconciliation and forecasting (not required to forecast independently).
- Willing to work onsite in Guadalajara and use Time Doctor to track work hours and performance.
Preferred
- Bachelor's degree in Business Administration (niche billing/negotiation experience weighted above the degree itself).
📌 Medical Billing Negotiation Manager (Guadalajara)
🏢 Legal Management Group
📍 Guadalajara