Medical Lien Specialist (Spanish-English Bilingual)
Full Time • Las Vegas, Nevada
Benefits:
- 401(k)
- 401(k) matching
- Bonus based on performance
- Dental insurance
- Health insurance
- Paid time off
- Training & development
- Vision insurance
Lien Specialist
Ft. Apache (Las Vegas)
Mission of the Role
The Lien Specialist owns the full lifecycle of personal-injury lien cases—from referral intake through settlement payment and lien release—ensuring attorneys, patients, providers, and billing teams stay aligned while protecting clinic revenue and maintaining HIPAA-compliant documentation.
This role is ideal for someone who thrives in fast-paced coordination environments and enjoys managing complex case workflows with accuracy and accountability.
Outcomes (What Success Looks Like in This Role)
Within 30 days
- Independently triage referrals and schedule lien patients within 24 business hours when feasible
- Ensure lien agreements are completed before treatment begins
- Maintain accurate ECW and CRM documentation on all assigned cases
Within 60 days
- Track policy limits, UM/UIM, and liability requests with timely follow-ups
- Execute appointment confirmation workflows with minimal missed confirmations
- Support provider note locking and billing packet preparation within expected timelines
Within 90 days
- Manage assigned lien cases from intake through billing submission with minimal escalation
- Maintain strong communication with attorneys and referring sources
- Support settlement tracking and lien closure documentation accurately and on time
Competencies (Who Thrives Here)
Top performers in this role are:
Highly organized operators
You manage multiple active cases without losing track of deadlines or documentation requirements.
You manage multiple active cases without losing track of deadlines or documentation requirements.
Strong communicators
You communicate clearly with attorneys, patients, providers, and billing teams.
You communicate clearly with attorneys, patients, providers, and billing teams.
Process-driven
You follow structured workflows and documentation standards consistently.
You follow structured workflows and documentation standards consistently.
Detail-oriented
You catch discrepancies between provider notes, CPT documentation, and billing packets.
You catch discrepancies between provider notes, CPT documentation, and billing packets.
Accountable
You take ownership of cases from referral through settlement.
You take ownership of cases from referral through settlement.
Responsibilities
You will:
- Coordinate personal-injury patient referrals from intake through settlement closure
- Secure attorney confirmations and completed lien agreements before treatment
- Request and track policy limits, UM/UIM, and liability status
- Execute appointment confirmations and manage reschedule/no-show workflows
- Maintain accurate documentation in ECW and CRM
- Support provider note locking and billing packet preparation
- Submit billing updates to attorneys after visits
- Track settlement timelines and follow up until payment is received
- Maintain HIPAA-compliant communication and records
- Support reporting, audits, and workflow tracking metrics
Qualifications
Required
- High school diploma or equivalent
- 1–3 years experience in one of the following:
- Medical liens
- Personal-injury coordination
- Medical billing
- Legal administrative support
- Strong documentation and coordination skills
Preferred
- Experience using ECW or similar EMR
- CRM workflow experience
- Familiarity with CPT / ICD-10 basics
- Personal-injury terminology knowledge (policy limits, liability, UM/UIM)
- Bilingual Spanish
Work Environment
- Full-time, onsite role (Monday–Friday)
- Clinical office setting
- Occasional coordination outside standard hours with attorneys/patients
- Possible local travel for attorney liaison coordination
Compensation & Benefits
- Competitive pay (DOE)
- Eligible for performance-based incentives
- Medical, dental, and vision eligibility after 90 days
- 401(k) with employer match eligibility
- PTO accrual
- Scrub voucher through Scrubtastic (Las Vegas)
Why Join PriMMed?
At PriMMed Pain Institute, the Lien team plays a critical role in supporting injured patients while ensuring strong coordination with referring attorneys and providers. This position directly contributes to both patient access to care and operational success across the clinic.
Join PriMMed and work with talented and compassionate colleagues who are leading the advancement of pain management and patient care in Southern Nevada.
PriMMed is treating pain differently. Our advanced pain specialists work as a team, developing an individualized treatment and management plan. With countless patients reporting meaningful success, our model acknowledges the complexity of treating pain.
The team at PriMMed is comprised of physicians, therapists and others all of which working together to provide personalized care for our patients.
PriMMed is treating pain differently. Our advanced pain specialists work as a team, developing an individualized treatment and management plan. With countless patients reporting meaningful success, our model acknowledges the complexity of treating pain.
The team at PriMMed is comprised of physicians, therapists and others all of which working together to provide personalized care for our patients.
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