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ZipLiens

Resolves medical and insurance settlement liens

Lien Resolution Strategist

Claims AdjudicationUpdated on Nov 11
Full-timeRemote in USA

About the Job

Requirements

  • At least 5 years of experience in medical lien resolution or subrogation, including direct medical lien negotiation.
  • Hands-on experience with multiple lien types, including Medicare/MSP conditional payments, Medicaid, ERISA/self-funded plans, and hospital and provider liens.
  • Working knowledge of the rules for each lien type, including the Medicare Secondary Payer Act, ERISA plan language and preemption, and state lien statutes and reduction doctrines such as made-whole and common fund.
  • A record of securing meaningful lien reductions from providers, insurers, and government payers, including disputed or high-value liens.
  • A track record of independently resolving complex files involving multiple liens, disputed amounts, appeals, and waiver or compromise requests.
  • Ability to communicate clearly in writing and conversation, including advising attorneys about lien strategy and the effect of liens on settlement outcomes in plain language.
  • Strong attention to detail in reviewing billing, records, and plan language for errors affecting outcomes.
  • Experience improving work processes, such as writing procedures or playbooks, piloting approaches, or helping implement a new system, and explaining reasoning so it can be documented, taught, and incorporated into tools.
  • Comfort working on a small collaborative team where processes are being defined and tested.
  • A bachelor's degree in a related field or equivalent work experience.

Responsibilities

  • Own a caseload of Single Event medical lien files for selected customers from intake through final resolution, covering Medicare/MSP, Medicaid, ERISA/self-funded plans, hospital and provider liens, and VA/TRICARE.
  • Set negotiation strategy and settlement targets independently for assigned files and decide when leadership review is needed.
  • Approve settlement terms within defined authority limits.
  • Analyze lien details and supporting medical records, billing, insurance information, and plan language to identify the strongest path to reduction.
  • Negotiate lien reductions with healthcare providers, insurers, and government payers, including disputes, appeals, and applicable waiver or compromise requests.
  • Communicate directly with customers throughout resolution, confirm case details and settlement nuances, advise on lien strategy and settlement impact, and explain complex positions and outcomes.
  • Own file quality and accuracy throughout each file's lifecycle.
  • Partner with Customer Success to co-own customer relationships, including regular touch-base calls, and keep customers informed about their files.
  • Help incorporate customer updates into workflows so customers understand case progress.
  • Work with Agency Management to apply agreed standards and procedures in work with agencies and lienholders, and flag what is working or needs to change.
  • Partner with the medical review team to define and incorporate medical review into Single Event lien-resolution workflows.
  • Test research and development initiatives on live files before broader rollout and share results and feedback.
  • Decide which file steps to retain and which to delegate to support team members, and coordinate delegated work.
  • Partner with the Senior Director, Product, and Development teams to design and refine workflows for each medical lien type.
  • Pilot workflows and approaches on live files, including negotiation tactics, sequencing, and documentation standards, and report results for broader use across Single Event lien resolution.
  • Own and maintain playbooks for assigned lien types, refining them as approaches are tested for broader use as Single Event lien resolution scales.
  • Help set team productivity and capacity benchmarks.
  • Define technology needs and provide hands-on feedback on portal features and automated workflows so tools reflect actual work practices.
  • Apply in-depth knowledge of federal and state lien rules to file strategy and complex issues.
  • Document lien-resolution activity thoroughly in accordance with internal standards and regulatory requirements.
  • Stay current on lien-resolution law, regulations, and industry practice, and share relevant changes with the team.

About the Company

ZipLiens

Resolves medical and insurance settlement liens

ZipLiens resolves healthcare and insurance liens for personal injury law firms, addressing repayment claims against clients' settlements. Its attorneys and analysts verify amounts, challenge unrelated treatment charges and negotiate with insurers, government programs and medical providers. Firms buy this work as a service, while a proprietary portal keeps case records, progress updates and communications in one place. The company also develops lien resolution strategies for mass tort cases, coordinating individual claims and broader settlement programs so firms can manage the work across a group of claimants. ZipLiens traces its operating roots to 2018 and is headquartered in Louisville, Kentucky.

Company size
51-200
Company stage
Not listed
Total funding
Not listed
Headquarters
Louisville, KY
Founded
2018

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