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MVA/Third Party Liability Resolution Specialist II
Revco Solutions. Independently manage complex MVA/TPL accounts from initial investigation through final resolution .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing complex MVA/TPL accounts, including investigation, negotiation, and resolution of claims. Proficient in analyzing healthcare billing, hospital liens, and reimbursement processes while ensuring compliance with regulatory requirements.
Highest-signal resume keywords
MVA/TPL Claims ManagementHospital Lien ResolutionNegotiation SkillsHealthcare Billing KnowledgeCalifornia MVA/TPL Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Complex Account AnalysisRecovery Strategy DevelopmentSettlement Proposal EvaluationClaims InvestigationDocumentation Management
Soft Skills
Critical ThinkingProblem SolvingDecision MakingWritten CommunicationVerbal Communication
Tools & Technologies
EHR SystemsRevco Account Management SystemsEPICCernerMeditech
Certifications & Qualifications
Healthcare Revenue-Cycle CertificationClaims Certification
Industry Keywords
Bodily Injury ClaimsSubrogationMedical Lien ResolutionHealthcare ReimbursementLiability Claims
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- Equal employment opportunity commitment
- Reasonable accommodations for qualified individuals with disabilities and applicants with pregnancy, childbirth, or related medical-condition limitations