Lien Resolution Team Lead

Overview

This independent contractor role is part of the lien resolution function, which determines how much of each settlement reaches clients.

You will:

• Supervise a team of reductions and lien resolution specialists
• Personally handle the largest and most complex lien files
• Own the metrics used to measure performance, including aggregate reduction rate, net-to-client percentage, and time from settlement to disbursement

This is a negotiation-focused role with a management layer on top—every reduction supports the injured client’s net recovery.

Responsibilities

• Post-settlement medical bills and liens

  • Lead the team by supervising, training, and evaluating reductions and lien resolution specialists
  • Assign files, manage workload distribution, run regular file reviews, and develop team negotiation skills

• Own the numbers

  • Track and report aggregate reduction percentage, dollars saved, aging, and settlement-to-disbursement turnaround
  • Identify where the team is leaving money on the table and implement fixes

• Negotiate high-complexity and escalated matters

  • Personally handle high-balance, high-complexity, and escalated reductions where providers or plans will not move at the specialist level

• Resolve statutory and plan liens

  • Direct the resolution of Medicare conditional payments and Medicare Secondary Payer obligations
  • Handle Florida Medicaid (AHCA) claims under Fla. Stat. § 409.910, including the administrative challenge process
  • Manage ERISA and self-funded plan reimbursement claims
  • Handle TRICARE and VA claims
  • Manage hospital and provider liens under applicable county ordinances

• Manage letters of protection (LOP)

  • Negotiate LOP balances with treating providers
  • Maintain documentation consistent with Fla. Stat. § 768.0427 disclosure requirements

• Apply the collateral source framework

  • Analyze health insurance payments, PIP benefits, and other collateral sources under Fla. Stat. § 768.76 to establish correct reimbursement exposure before negotiating

• Build and maintain provider relationships

  • Establish and maintain working relationships and, where appropriate, standing reduction arrangements with high-volume providers, facilities, and lien resolution vendors

• Partner with attorneys

  • Provide trial and pre-suit attorneys accurate, timely lien exposure figures so they can evaluate settlement authority and advise clients on net recovery

• Protect the client experience

  • Ensure clients understand their closing statement and that disbursement is accurate, documented, and prompt

• Improve and standardize the process

  • Standardize templates, escalation paths, and negotiation playbooks
  • Recommend and help implement case management system and workflow improvements

• Maintain compliance

  • Ensure every file satisfies trust accounting, Florida Bar, and firm documentation requirements before funds are released

Remote Engagement Details

• Independent contractor remote position
• 40-hour workweek; schedule confirmed during the interview process
• Reliable internet, a computer, and a quiet, professional workspace required
• No employee benefits or paid time off

Requirements

• Experience

  • 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
  • Minimum of 5 people managed in past roles (direct or indirect reports)

• Negotiation and rules knowledge

  • Demonstrated track record of negotiating meaningful reductions on medical balances and liens, with the numbers to support it
  • Working knowledge of Medicare Secondary Payer rules and conditional payment resolution
  • Working knowledge of Florida Medicaid third-party recovery and the AHCA lien process
  • Familiarity with ERISA plan reimbursement claims and the practical difference between self-funded and fully insured plans
  • Understanding of Florida PIP and the collateral source framework as it affects reimbursement exposure
  • Familiarity with Medicare Set-Aside considerations in third-party liability settlements

• Settlement math

  • Strong command of settlement math, including gross to net, attorney fees and costs, pro rata allocation, and common fund and made-whole considerations

• Communication and tools

  • Excellent written and verbal communication; able to be firm with providers and plainspoken with clients
  • Proficiency with legal case management software and spreadsheets
  • Bilingual English/Spanish, spoken and written

• Education

  • Paralegal certificate, or a bachelor’s degree in a related field

• Workflow development

  • Experience building or refining a reductions workflow from the ground up

Compensation & Benefits

• No employee benefits or paid time off

Location

Remote