Job Description

Health Insurance Specialist

Omega Law Group is a prestigious personal injury law firm serving California and Texas. We are committed to championing the rights of individuals who have suffered due to negligence or wrongful acts. Our dedicated team is known for delivering exceptional service and winning results for our clients. Through innovation, compassion, and expertise, we have gained a reputation as one of the leading law firms in personal injury.

Position Overview

Join our team as a Health Insurance Specialist. In this role, you will play a critical part in managing health insurance claims and medical billing processes for personal injury cases. Your expertise will help ensure timely resolution of claims, accurate review of medical bills, and effective dispute management. You will act as the go-to resource for all health insurance and medical billing inquiries, collaborating closely with other departments, medical providers, and clients to support case outcomes. If you thrive in a fast-paced environment and have a passion for navigating complex health insurance processes, we'd love to hear from you!

Responsibilities

• Open claims with Medi-Cal, Medicare, VA, and commercial insurance providers for personal injury cases.
• Monitor and resolve any issues with claims to ensure timely collection of documentation for the efficient and accurate resolution of client cases.
• Thoroughly review medical bills and verify health insurance liens against treatment records and payments.
• Identify and address discrepancies or invalid charges and file disputes to add or remove charges as needed.
• Gather and review medical records to support dispute submissions as necessary.
• Provide guidance to team members on challenging lien-related issues.
• Serve as the primary point of contact for health insurance and medical billing-related inquiries across the firm.
• Contact insurance providers and medical facilities for information on treatment and payments.
• Collaborate with attorney teams to ensure tasks are handled accurately and on time.
• Engage clients to gather required details or documents when necessary.

Qualifications

• At least 2 year of relevant experience in health insurance claims, medical billing, or personal injury case management (35 years preferred).
• Experience leading or mentoring team members and managing workflows.
• Solid knowledge of health insurance liens, medical billing, and lien dispute processes.
• Strong attention to detail for reviewing medical bills, insurance documents, and treatment records to identify discrepancies.
• Proven ability to resolve complex lien issues and provide guidance to others.
• Excellent written and verbal communication skills to work effectively with insurance providers, medical facilities, attorneys, and clients.
• Ability to manage multiple tasks, meet deadlines, and maintain accurate records in a fast-paced environment.
• Collaborative mindset to work with attorneys, healthcare providers, and other team members.

Compensation

• $25 to $35 per hour

Comprehensive Benefits Package:

• Retirement Savings: 401(k) plan available
• Career Development: Opportunities for professional growth and advancement
• Comprehensive Insurance Coverage:
• Health Insurance
• Dental Insurance
• Vision Insurance
• Flexible Spending Account
• Life Insurance
• Paid Time Off
• Free onsite parking

Location: This role is located at our West Hollywood office and requires physical presence on-site.

We are an equal opportunity employer and offer competitive compensation and benefits, and opportunities for growth.

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