Lien Resolution Team Lead

🔥 13 hours ago

🇨🇴 Colombia – Remote

💵 $1.2k - $2k / month

⏰ Full Time

🟠 Senior

✨ Team Lead

👻 Ghost score 20%

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Logo of The Ward Law Group, PL

The Ward Law Group, PL

51 - 200 employees

Founded 2012

👥 B2C

⚖️ Legal

⚕️ Healthcare Insurance

B2C • Legal • Healthcare Insurance

The Ward Law Group, PL is a dedicated personal injury law firm committed to providing expert legal representation for victims of negligence in various injury cases, including car accidents, truck accidents, and wrongful death. With a strong focus on serving the Hispanic community, the firm prides itself on its extensive experience and proven track record of securing over $500 million in settlements for clients. The attorneys at The Ward Law Group emphasize client-focused representation, ensuring each client receives personalized attention throughout the legal process.

📋 Description

• Supervise, train, and evaluate a team of reductions and lien resolution specialists • Assign files, manage workload distribution, conduct regular file reviews, and develop team negotiation skills • Track and report aggregate reduction percentage, dollars saved, aging, and settlement-to-disbursement turnaround • Identify missed savings opportunities and implement improvements • Personally negotiate high-balance, high-complexity, and escalated reductions • Resolve Medicare conditional payments and Medicare Secondary Payer obligations • Direct resolution of Florida Medicaid (AHCA) claims, including the administrative challenge process • Resolve ERISA and self-funded plan reimbursement claims, TRICARE and VA claims, and hospital and provider liens • Negotiate letter of protection balances and maintain required documentation • Analyze health insurance payments, PIP benefits, and other collateral sources to establish reimbursement exposure • Build relationships and standing reduction arrangements with providers, facilities, and lien resolution vendors • Provide attorneys with accurate lien exposure figures for settlement authority and client net-recovery decisions • Ensure clients understand closing statements and that disbursements are accurate, documented, and prompt • Standardize templates, escalation paths, and negotiation playbooks • Recommend and help implement case management system and workflow improvements • Ensure compliance with trust accounting, Florida Bar, and firm documentation requirements before funds are released

🎯 Requirements

• Minimum of four (4) years of experience in medical lien resolution, reductions, or settlement negotiation at a personal injury firm, lien resolution company, or healthcare recovery vendor • Minimum of 5 people managed in past roles (direct or indirect reports) • Demonstrated track record of negotiating meaningful reductions on medical balances and liens, with supporting metrics • Working knowledge of Medicare Secondary Payer rules and conditional payment resolution • Working knowledge of Florida Medicaid third-party recovery and the AHCA lien process • Familiarity with ERISA plan reimbursement claims and the difference between self-funded and fully insured plans • Understanding of Florida PIP and the collateral source framework as it affects reimbursement exposure • Strong command of settlement math, including gross to net, attorney fees and costs, pro rata allocation, common fund, and made-whole considerations • Excellent written and verbal communication • Proficiency with legal case management software and spreadsheets • Bilingual English/Spanish, spoken and written (preferred) • Experience at a high-volume Florida plaintiff personal injury firm (preferred) • Experience negotiating with hospital systems and large provider groups in the South Florida market (preferred) • Paralegal certificate or a bachelor’s degree in a related field (preferred) • Experience building or refining a reductions workflow from the ground up (preferred) • Familiarity with Medicare Set-Aside considerations in third-party liability settlements (preferred)

🏖️ Benefits

• Remote work 5 days a week • Opportunity to grow a litigation career • Collaborative, innovative, and high-accountability culture • Professional growth and leadership development opportunities

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