Lien Resolution Strategist

🔥 46 minutes ago

🐎 Kentucky – Remote

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💵 $66k - $90k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of ZipLiens

ZipLiens

11 - 50 employees

💼 Consulting

🏥 Healthcare

🛡️ Insurance

Consulting • Healthcare • Insurance

ZipLiens is a company that specializes in personal injury lien resolution services. They offer technology solutions and expert negotiation services to help law firms save time and resources spent on resolving various types of liens, such as healthcare and insurance liens. ZipLiens integrates with personal injury firms to provide significant time and cost savings, improving productivity and profitability. Their services also include process transparency and responsive communications through a customer portal. ZipLiens aims to ensure quality and timely reductions in liens by handling cases related to Medicaid, Medicare, military liens, private health insurance, hospital liens, and more. They are trusted by top law firms across the US for their efficient and effective lien resolution skills.

📋 Description

• Own a caseload of Single Event medical lien files from intake through final resolution • Set negotiation strategy and settlement targets and determine when leadership review is needed • Approve settlement terms within defined authority limits • Analyze medical records, billing, insurance information, and plan language to identify lien-reduction opportunities • Negotiate lien reductions with healthcare providers, insurers, and government payers, including disputes, appeals, and waiver or compromise requests • Communicate directly with customers throughout intake and resolution, advising on lien strategy and settlement impact • Maintain quality and accuracy throughout each file’s lifecycle • Partner with Customer Success on customer relationships and regular touch-base calls • Collaborate with Agency Management and medical review teams to apply and develop standards and workflows • Test R&D initiatives and new approaches on live files and report results • Delegate file steps to support team members and coordinate their work • Design and refine workflows for medical lien types with Product and Development teams • Pilot negotiation tactics, sequencing, and documentation standards • Own and maintain lien-resolution playbooks • Help establish productivity and capacity benchmarks • Provide hands-on feedback on portal features and automated workflows • Apply federal and state lien rules to complex file strategy • Maintain documentation meeting internal standards and regulatory requirements • Stay current on lien-resolution law, regulations, and industry practice and share relevant changes

🎯 Requirements

• 5+ years of experience in medical lien resolution or subrogation, with direct negotiation of medical liens • Hands-on experience across multiple lien types, including Medicare/MSP conditional payments, Medicaid, ERISA/self-funded plans, and hospital and provider liens • Working knowledge of the Medicare Secondary Payer Act, ERISA plan language and preemption, and state lien statutes and reduction doctrines • Strong negotiation skills and experience securing reductions from providers, insurers, and government payers, including disputed or high-value liens • Experience independently resolving complex files involving multiple liens, disputed amounts, appeals, and waiver or compromise requests • Customer-first approach with proactive, responsive, and reliable communication • Clear, confident written and verbal communication, including advising attorneys on lien strategy and settlement outcomes • Sharp attention to detail in billing, records, and plan language • Experience improving processes through procedures, playbooks, piloting approaches, or system implementation • Ability to explain reasoning clearly enough to document, teach, and build into tools • Comfortable working on a small, collaborative team with evolving processes • Bachelor’s degree in a related field or equivalent work experience • Must be authorized to work in the United States without employer-sponsored visa support now or in the future

🏖️ Benefits

• Private Health Care Plan (Medical, Dental & Vision) • Company HSA contributions for HDHP participants • Flexible Spending Accounts (Health & Dependent Care) • Company-Paid Short-Term Disability Coverage • Voluntary Long-Term Disability, Life, AD&D, and Supplemental Coverage Options • 401(k) Plan with Company Match • Paid Time Off (Vacation, Sick Time & 10 paid Holidays) • Parental Leave • Quarterly discretionary bonus opportunity

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