What are the responsibilities and job description for the Lien Resolution Specialist position at ARCHER Logo Reverse PNG File (Large)?
POSTION SUMMARY:
Candidates must have experience in legal assistance, legal writing/research, health care claims processing, or a similar field. The Case Analyst ensures all cases are progressing towards completion and all duties ARCHER is tasked with are being delivered. The Case Analyst identifies case-level needs, both internally and externally, and ensures that those needs are met. This person will send, process, and receive large volumes of correspondence (via email and phone calls) exchanged with various agencies and law firms daily. Case Analysts are expected to apply applicable statutes and case law as it relates to the resolution of each lien product. This individual will be the sole resource for their assigned law firm with regard to identification of health plan type, explanation of health plan rights to reimbursement, review and dispute of unrelated claims, and timely resolution of liens with the goal of maximizing the claimant’s recovery.
Position Location: Austin, TX (ON SITE)
JOB RESPONSIBILITIES
• Identify data required for lien resolution and effectively communicate missing data to clients.
• Provide timely and accurate case status to assigned clients via email and phone.
• Maintain ARCHER case management database with up-to-date and accurate information allowing for quick review of case status.
• Overall docket management to include knowledge of settled vs unsettled cases, proper use of lien product stages and follow-up dates to ensure all deadlines are met.
• Assist in creation and maintenance of case level reports.
• Monitor key milestones (e.g. settlement, finalization of liens) for all assigned cases.
• Obtain, review, and comprehend key case documents (health plan governing documents, Form 5500, assertion of lien letters, etc.).
• Ensure the company is complying with terms of health plan governing documents or regulations regarding reporting of client injury, updating the plan on case status, and timely resolution of outstanding liens.
• Conduct case law and statutory research to identify avenues for lien reduction.
• Track and report problem health plans, collectors, or clients.
• Identify high priority liens, apprise Single Event management of issues with lien resolution.
• Utilize all provided resources and tools including templates, checklists, and QA protocol.
KNOWLEDGE, SKILLS, ABILITIES, AND RESPONSIBILITIES
• Demonstrated ability to effectively communicate orally and in writing, including preparation of complex disputes, appeals and other official correspondence.
• Ability to organize and coordinate work within schedule constraints and handle emergent tasks in a timely manner.
• Demonstrated ability to monitor case progression and recognize and quickly address potential delays.
• Intermediate knowledge of Microsoft Office (Word, Excel, Adobe Acrobat, and Outlook)
• 2 years of experience in the legal or medical claims fields;
• 2 years of experience with legal research, writing, and investigation of case law and applicable statutes;
• Experience with case management software, healthcare regulations, medical billing, ICD codes;
• Negotiation.
BENEFITS
- 401(K)
- 401(k) Matching
- Health Insurance
- Dental Insurance
- Vision Insurance
- Parental Leave
- Short Term Disability
- Long Term Disability
ABOUT ARCHER
ARCHER Systems is a leading technology enabled legal services company that provides pre-settlement and post-settlement administration services for single event, mass tort, and class action cases with the goal of helping claimants access their settlement proceeds more efficiently and quickly. The company plans to continue leveraging technology and top tier talent to enhance customer service and offer new product lines and services.
ARCHER’s core offering is post-settlement Healthcare Lien Resolution Administration and QSF (Qualified Settlement Fund) Administration and payments processing for multi-claimant (mass tort and class action) litigation. Other services include claims administration, single event lien resolution, probate and bankruptcy coordination, release administration, medical records review, and plaintiff fact sheet and other intake/census preparation and management. ARCHER enables law firms to focus on their litigation while ensuring that critical pre-settlement and post-settlement administration documents, services, business analytics and reporting are handled efficiently and effectively.
