Lien Resolution Strategist

ZipLiens • Somerset, KY

8d

About The Position

Zipliens is hiring a senior-level Lien Resolution Strategist to handle Single Event medical lien resolution for a select group of customers. The role owns a caseload from intake through final resolution, sets negotiation strategy, resolves complex liens, and partners with customer success, agency management, and medical review to provide a high-touch customer experience. The strategist will also test new approaches, develop playbooks, and help shape the workflows and tools used for Single Event lien resolution as the company grows.

The position combines independent file ownership and negotiation with customer communication, cross-functional collaboration, and process development. It requires applying federal and state lien rules, maintaining accurate documentation, and helping define productivity benchmarks and technology requirements. The role reports to no specified manager in the posting.

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 rules governing lien types, 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.
• Strong negotiation skills and a record of obtaining meaningful reductions from providers, insurers, and government payers, including disputed or high-value liens.
• Demonstrated ability to independently resolve complex files involving multiple liens, disputed amounts, appeals, or waiver and compromise requests.
• Customer-first approach, proactive communication, responsiveness, and reliability throughout resolution.
• Clear, confident written and verbal communication, including the ability to explain lien strategy and settlement impacts to attorneys in plain terms.
• Strong attention to detail, including identifying errors in billing, records, and plan language that affect outcomes.
• Experience improving work processes, such as writing procedures or playbooks, piloting approaches, or helping implement a system.
• Ability to clearly explain reasoning so it can be documented, taught, and incorporated into tools.
• Comfort working on a small, collaborative team with evolving processes and a test-and-adjust approach.
• Bachelor’s degree in a related field or equivalent work experience.
• Authorization to work in the United States without employer-sponsored visa support now or in the future.

Responsibilities

• Own a caseload of Single Event medical lien files for selected customers from intake through final resolution, including Medicare/MSP, Medicaid, ERISA/self-funded plans, hospital and provider liens, and VA/TRICARE.
• Set negotiation strategies and settlement targets independently, determine when leadership review is needed, and approve settlement terms within defined authority limits.
• Analyze medical records, billing, insurance information, and plan language to identify paths to lien reduction.
• Negotiate reductions with healthcare providers, insurers, and government payers, including disputes, appeals, and waiver or compromise requests where applicable.
• Communicate directly with customers throughout resolution, confirm case details and settlement nuances, advise on lien strategy and settlement impact, and explain complex outcomes.
• Maintain the quality and accuracy of files throughout their lifecycle.
• Partner with Customer Success to co-own customer relationships, participate in regular touch-base calls, and provide clear file updates.
• Help incorporate customer updates into workflows.
• Work with Agency Management to apply standards and procedures 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 workflows.
• Test new R&D initiatives on live files and share feedback on results.
• Determine which file steps to retain and which to delegate, and coordinate delegated work with support team members.
• Partner with the Sr. Director, Product, and Development teams to design and refine workflows for medical lien types.
• Pilot workflow and approach changes on live files and report results so effective practices can be shared.
• Own and maintain playbooks for assigned lien types, refining them as approaches are tested.
• Help establish team productivity and capacity benchmarks.
• Provide hands-on feedback on portal features and automated workflows to help ensure tools reflect the work in practice.
• Apply federal and state lien rules to file strategy and complex issues.
• Maintain thorough documentation of lien resolution activity in accordance with internal standards and regulatory requirements.
• Stay current on lien resolution laws, regulations, and industry practices, and share relevant changes with the team.

Benefits

• Private health care plan covering medical, dental, and vision.
• Company HSA contributions for HDHP participants.
• Flexible Spending Accounts for health and 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, including vacation, sick time, and 10 paid holidays.
• Parental leave.
• Quarterly discretionary bonus opportunity.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior