MVA/Third Party Liability Resolution Specialist II

Job not on LinkedIn

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Revco Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

🛡️ Insurance

💼 Consulting

Healthcare • Insurance • Consulting

Revco Solutions is a leading provider of revenue cycle management services specializing in healthcare debt collection and compliance. With a commitment to excellence, they offer tailored solutions that enhance performance while ensuring the highest standards of security and compliance. Their experienced team is dedicated to improving the financial health of healthcare organizations by optimizing collection efforts and providing superior client and patient experiences.

📋 Description

• Independently manage complex MVA/TPL accounts from initial investigation through final resolution • Analyze registration, diagnosis, accident, insurance, clinical, billing, payment, legal, and account information to determine recovery strategy • Investigate accident circumstances, responsible parties, liability status, available coverage, claim numbers, policy limits, attorney representation, multiple claimants, and other reimbursement sources • Identify and pursue primary, secondary, and alternative recovery sources • Evaluate, prepare, submit, document, monitor, and manage hospital liens and related notices • Monitor settlements, lien deadlines, documentation requirements, coverage issues, and account milestones • Communicate and negotiate with liability insurance carriers, claims adjusters, personal-injury attorneys, patients, and other parties • Evaluate settlement proposals and develop counteroffers and settlement recommendations • Negotiate resolutions within assigned authority and escalate matters requiring approval • Research and resolve disputed, delayed, underpaid, denied, high-dollar, and complex accounts • Review payments, adjustments, account balances, settlement activity, and account disposition for accurate final resolution • Identify and escalate financial, compliance, lien, documentation, or recovery risks • Maintain detailed documentation of investigations, negotiations, settlement decisions, lien actions, and resolutions • Use EHR, payer and carrier resources, client systems, legal documentation, and Revco account-management systems • Maintain compliance with HIPAA, regulatory requirements, client requirements, and company policies • Serve as a resource to Level I Specialists • Assist leadership with training, workflow development, reference materials, templates, and best practices • Identify recovery barriers and process gaps and recommend reimbursement improvements to leadership • Support escalated accounts, special projects, client initiatives, and other management assignments

🎯 Requirements

• 3–5+ years of experience in MVA/TPL, bodily injury claims, subrogation, medical lien resolution, complex healthcare reimbursement, or a closely related liability-claims environment • Direct hospital or provider-side revenue cycle experience strongly preferred • Experience independently investigating accident-related claims and identifying available insurance coverage and other sources of reimbursement • Experience communicating and negotiating with liability insurance carriers, claims adjusters, attorneys, and other external parties • Working knowledge of hospital liens and lien-related reimbursement processes • Experience preparing, submitting, monitoring, and resolving hospital liens strongly preferred • California MVA/TPL and California hospital lien experience strongly preferred • Strong understanding of healthcare billing, account balances, claims, payments, adjustments, denials, and reimbursement processes • Ability to independently analyze complex accounts and develop appropriate resolution strategies • Strong negotiation, critical-thinking, problem-solving, and decision-making skills • Ability to evaluate settlement proposals and develop supported recommendations • Strong written and verbal communication skills • Ability to manage complex, high-priority accounts with varying deadlines and resolution requirements • EPIC, Cerner, Meditech, CRXIS, or comparable patient accounting/account-management system experience preferred but not required • Healthcare revenue-cycle, claims, insurance, or liability-related certifications are a plus but not required

🏖️ Benefits

• Equal employment opportunity commitment • Reasonable accommodations for qualified individuals with disabilities and applicants with pregnancy, childbirth, or related medical-condition limitations