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3 дня назад

Lien Resolution Strategist

66 000 - 90 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Lien Resolution Strategist (Medical Lien Resolution): Managing and negotiating Single Event medical lien files from intake through final resolution across Medicare, Medicaid, ERISA, hospital, provider, and government claims with an accent on complex negotiations, customer advising, and regulatory analysis. Focus on designing lien-resolution workflows, piloting negotiation approaches, building playbooks, and shaping operational tools for scalable case resolution.

Location: Remote within the United States; applicants must be authorized to work in the United States without employer-sponsored visa support.

Salary: $66,000–$90,000 annually, plus an opportunity for a quarterly discretionary bonus.

Company

hirify.global streamlines lien resolution for personal injury law firms, with a focus on Single Event medical lien work.

What you will do

  • Own Single Event medical lien files from intake through final resolution for a select group of customers.
  • Set negotiation strategies and settlement targets, approve terms within authority limits, and resolve complex liens across Medicare/MSP, Medicaid, ERISA, hospital, provider, VA/TRICARE, and other payer claims.
  • Analyze medical records, billing, insurance information, and plan language to identify reduction opportunities; manage disputes, appeals, and waiver or compromise requests.
  • Advise customers and attorneys on lien strategy, settlement impact, case details, and outcomes while maintaining file quality and accuracy.
  • Collaborate with Customer Success, Agency Management, medical review, Product, and Development teams to test live-file initiatives and improve customer workflows.
  • Design and pilot workflows, negotiation approaches, documentation standards, playbooks, productivity benchmarks, and technology requirements for scalable lien resolution.

Requirements

  • 5+ years of experience in medical lien resolution or subrogation, including direct negotiation of medical liens.
  • Hands-on experience with 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, including made-whole and common-fund doctrines.
  • Strong negotiation skills and a record of securing meaningful 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 throughout resolution.
  • Clear and confident written and verbal communication, including explaining lien strategy and settlement impact to attorneys in plain terms.
  • Strong attention to detail when reviewing billing, records, and plan language.
  • Experience improving workflows through procedures, playbooks, new approaches, or system implementation; able to document and explain reasoning.
  • Comfort working on a small collaborative team where processes are tested and refined, plus a bachelor’s degree in a related field or equivalent work experience.

Culture & Benefits

  • Remote work within the United States on a small, focused, collaborative team.
  • Private medical, dental, and vision coverage.
  • Company HSA contributions for HDHP participants and flexible spending accounts for health and dependent care.
  • Company-paid short-term disability coverage, with voluntary long-term disability, life, AD&D, and supplemental coverage options.
  • 401(k) plan with company match, paid vacation, sick time, 10 paid holidays, and parental leave.

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