Lien Resolution

3 days ago

The Lien Resolution Specialist is responsible for the verification and monitoring, investigating, and resolution of Medicare, Medicaid and Private Insurance liens.
Major Responsibilities:

    • Requests liens from Medicare, Medicaid, military, and private insurance plans
    • Responds to inquiries (email/fax/telephone) from client firms, Medicare, Medicaid, military and/or private insurance; initiates inquiries to client firms and insurance plans for necessary lien resolution information
    • Reviews liens to determine whether charges are compensable with the injuries
    • Ability to look up ICD10 codes
    • Prepares correspondence to insurance plans to dispute claims and to request final liens/compromises/appeals
    • Investigates and makes discretionary decisions to resolve any disputes
    • Prepares letters to client firms explaining correspondence from insurance plans and providing case status updates
    • Provides client written instructions for submitting lien payment to the plans
    • Inputs and maintains accurate information into the computer data system
    • Completes quality and accurate work in an organized, efficient, and timely manner;
    • Responsible for a broad range of operational duties, ensuring timely completion and compliance with established standards

Skills & Qualifications:

  • Knowledge and proficiency in Time Matters and/or similar case database
  • Knowledge of ICD9 Coding and CPT codes.
  • Knowledge of medical diagnostic and procedural terminology.
  • Proficient with MS Word and Excel, as well as pertinent software packages; basic typing and computer keyboard skills required.
  • Customer Service driven.

Job Type: Full-time

Disclaimer: The information provided through these blog posts does not, and is not intended to, constitute legal advice; instead, all information, content, and materials available through these blog posts are for general informational purposes only.

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