Role Description
The Lien Resolution Team Lead runs the function that determines how much of every settlement actually reaches our clients. You will supervise a team of reductions and lien resolution specialists, personally handle the largest and most complex lien files, and own the metrics that measure our performance β aggregate reduction rate, net-to-client percentage, and time from settlement to disbursement.
This is a negotiation role with a management layer on top. Every dollar your team takes off a medical balance, a hospital lien, or a health planβs subrogation claim is a dollar that goes to an injured client instead. You will set the standard for how hard those negotiations are pushed, hold the team to it, and step in personally when a provider or plan will not move.
Qualifications
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Minimum of four (4) years of experience in medical lien resolution, reductions, or settlement negotiation at a personal injury firm, lien resolution company, or healthcare recovery vendor.
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Minimum of 5 people managed in past roles (direct or indirect reports).
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Demonstrated track record of negotiating meaningful reductions on medical balances and liens, with the numbers to support it.
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Working knowledge of Medicare Secondary Payer rules and conditional payment resolution.
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Working knowledge of Florida Medicaid third-party recovery and the AHCA lien process.
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Familiarity with ERISA plan reimbursement claims and the practical difference between self-funded and fully insured plans.
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Understanding of Florida PIP and the collateral source framework as it affects reimbursement exposure.
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Strong command of settlement math β gross to net, attorney fees and costs, pro rata allocation, and common fund and made-whole considerations.
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Excellent written and verbal communication; able to be firm with providers and plainspoken with clients.
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Proficiency with legal case management software and spreadsheets.
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Bilingual English/Spanish, spoken and written.
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Paralegal certificate, or a bachelorβs degree in a related field.
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Experience building or refining a reductions workflow from the ground up.
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Familiarity with Medicare Set-Aside considerations in third-party liability settlements.
Requirements
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Lead the team: Supervise, train, and evaluate a team of reductions and lien resolution specialists.
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Own the numbers: Track and report aggregate reduction percentage, dollars saved, aging, and settlement-to-disbursement turnaround.
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Negotiate the hard files: Personally handle high-balance, high-complexity, and escalated reductions.
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Resolve statutory and plan liens: Direct the resolution of Medicare conditional payments and other claims.
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Manage letter of protection balances: Negotiate LOP balances with treating providers.
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Apply the collateral source framework: Analyze health insurance payments and other collateral sources.
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Build provider relationships: Establish and maintain working relationships with high-volume providers.
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Partner with the attorneys: Provide accurate, timely lien exposure figures to trial and pre-suit attorneys.
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Protect the client experience: Ensure clients understand their closing statement and that disbursement is accurate.
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Improve the process: Standardize templates, escalation paths, and negotiation playbooks.
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Maintain compliance: Ensure every file satisfies trust accounting, Florida Bar, and firm documentation requirements.
Benefits
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Independent contractor remote position.
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40-hour workweek; schedule confirmed during the interview process.
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Reliable internet, a computer, and a quiet, professional workspace required.
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No employee benefits or paid time off.