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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical lien resolution, including negotiation strategies and compliance with federal and state regulations. Proven ability to analyze complex files, communicate effectively with stakeholders, and improve processes through collaboration and documentation.
Highest-signal resume keywords
Medical Lien ResolutionNegotiation SkillsMedicare Secondary Payer ActAttention to DetailCustomer Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Lien NegotiationSubrogationComplex File ResolutionLien Reduction StrategiesBilling AnalysisInsurance Information AnalysisRegulatory ComplianceProcess ImprovementWorkflow DesignDocumentation Standards
Soft Skills
Proactive CommunicationTeam CollaborationProblem-SolvingAdaptabilityClear Written Communication
Industry Keywords
MedicareMedicaidERISAConditional PaymentsState Lien StatutesLien-Resolution LawHealthcare ProvidersGovernment PayersSettlement StrategyQuality Assurance
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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