- Negotiate reductions on medical provider, hospital, health insurer, ERISA, Medicare, Medicaid, and other subrogation liens, as well as pre-settlement funding loans.
- Develop reduction strategies based on lien type, governing law, case value, policy limits, and procurement-cost principles.
- Handle high-dollar, contested, or escalated lien matters and partner with attorneys on settlement evaluation, demand, and mediation strategy.
- Hire, train, manage, and mentor lien negotiators and support staff; set performance goals and track department metrics.
- Build standardized workflows, scripts, templates, and escalation protocols.
- Oversee lien identification and verification, flag potential missing liens, and ensure compliance with applicable laws and accounting requirements.
- Work with finance on settlement statements, lien holds, and timely disbursement; maintain negotiation and payoff documentation.
- Manage relationships with providers, health plans, recovery vendors, and government agencies, and report department performance, trends, and risks to firm leadership.
- Maintain lien data in the case management system and identify opportunities for automation and process improvement.
Microsoft ExcelTeam management