Lien Resolution Strategist

Zipliens; United States; On-site; USD 120,000 - 190,000; Full time

Job summary

Zipliens is seeking a senior Lien Resolution Strategist to own a caseload of Single Event medical liens from intake to final resolution. You will set negotiation strategy, settle terms, and coordinate with account management, agency management, and medical review to deliver high-quality, high-touch outcomes for select customers.

You will also test new approaches, build playbooks, and shape workflows and tools to scale our Single Event lien resolution work while maintaining strict accuracy and

Qualifications

• 5+ years of experience in medical lien resolution or subrogation, with direct negotiation of medical liens.
• Hands-on experience across multiple lien types, including Medicare/MSP conditional payments, Medicaid, ERISA/self-funded plans, and hospital and provider liens.
• Working knowledge of the rules behind each lien type, such as the Medicare Secondary Payer Act, ERISA plan language and preemption, and state lien statutes and reduction doctrines (e.g., made-whole, common fund).
• Strong negotiation skills, with a record of securing meaningful reductions from providers, insurers and government payers, including on disputed or high-value liens.
• Track record of independently resolving complex files, such as multiple liens.

Responsibilities

• Own a caseload of Single Event medical lien files from intake through final resolution for a select group of customers.
• Set negotiation strategy and settlement targets on assigned files independently and escalate when needed.
• Approve settlement terms within defined authority limits.
• Analyze lien details and supporting documentation to find the strongest path to reduction.
• Negotiate lien reductions with healthcare providers, insurers, and government payers.
• Communicate with customers from intake through resolution to explain strategy and outcomes.
• Maintain quality and accuracy of each file throughout its lifecycle.
• Collaborate with Customer Success to manage the customer relationship and provide updates.
• Help build workflows and playbooks to scale processes across the team.
• Pilot new workflows on live files and share results to inform broader adoption.
• Define what the technology should do by providing hands-on feedback on portal features and automation.
• Assist in developing productivity and capacity benchmarks for the team.

Skills

Negotiation

Medical lien resolution

Subrogation knowledge

Regulatory knowledge

Client communication

Job description

Zipliens is a leading lien resolution company that specializes in streamlining the lien process for personal injury law firms. We are looking for proactive, results-driven individuals to join our dynamic team. Zipliens is improving how we handle Single Event lien resolution, building new workflows, tools, and reporting so we can keep delivering great outcomes for our customers as we grow. This role is part of a small, focused team that works directly with a select group of customers, and what we learn will help shape how we handle Single Event work across the company. As a Lien Resolution Strategist, you'll own a caseload of Single Event medical lien files from intake through final resolution. You'll set negotiation strategy, resolve complex liens across Medicare, Medicaid, ERISA, and provider claims, and partner closely with account management, agency management, and medical review to give customers a high-touch experience. You'll also spend time testing new approaches, building playbooks, and helping shape the workflows and tools built around the work. This is a senior-level role for an experienced lien resolution professional who puts customers first, likes solving hard problems, and wants a hand in shaping how the work gets done.

Responsibilities

• Lien Resolution & Negotiation Own a caseload of Single Event medical lien files for a select group of customers, from intake through final resolution, across lien types including Medicare/MSP, Medicaid, ERISA/self-funded plans, hospital and provider liens, and VA/TRICARE.
• Set negotiation strategy and settlement targets on assigned files independently, and decide when files need leadership review.
• Approve settlement terms within defined authority limits.
• Analyze lien details and supporting documentation (medical records, billing, insurance information, plan language) to find the strongest path to reduction.
• Negotiate lien reductions with healthcare providers, insurers and government payers, including disputes, appeals, and waiver or compromise requests where applicable.
• Communicate directly with customers from intake through resolution: confirm case details and settlement nuances early, advise on lien strategy and its impact on the settlement, and walk customers through complex positions and outcomes.
• Own the quality and accuracy of each file throughout its lifecycle.
• Customer Experience & Collaboration Partner with Customer Success to co-own the customer relationship, including regular touch-base calls, so customers have a clear view of their files and a high-touch experience.
• Help build customer update steps into workflows so customers understand case updates.
• Work closely with Agency Management, applying agreed standards and procedures in daily work with agencies and lienholders, and flagging what's working or needs to change.
• Partner with the medical review team to define how medical review is used in Single Event lien resolution, and help build it into workflows.
• Test new R&D initiatives on live files before they roll out more broadly, and share feedback on results.
• Decide which file steps to keep and which to delegate to support team members, and coordinate that work.
• Process & Workflow Development Partner with the Sr. Director, Product, and Development teams to design and refine workflows for each medical lien type.
• Pilot new workflows and approaches on live files (negotiation tactics, sequencing, documentation standards), and report on results so what works can be shared across Single Event lien resolution.
• Own and maintain playbooks for assigned lien types, refining them as approaches are tested so they can be used across Single Event lien resolution as it scales.
• Help set productivity and capacity benchmarks for the team.
• Help define what the technology should do, giving hands-on feedback on portal features and automated workflows so tools are built around how the work is done in practice.

Qualifications

• 5+ years of experience in medical lien resolution or subrogation, with direct negotiation of medical liens.
• Hands-on experience across multiple lien types, including Medicare/MSP conditional payments, Medicaid, ERISA/self-funded plans, and hospital and provider liens.
• Working knowledge of the rules behind each lien type, such as the Medicare Secondary Payer Act, ERISA plan language and preemption, and state lien statutes and reduction doctrines (e.g., made-whole, common fund).
• Strong negotiation skills, with a record of securing meaningful reductions from providers, insurers and government payers, including on disputed or high-value liens.
• Track record of independently resolving complex files, such as multipl

Expertise & Standards

Apply in-depth knowledge of federal and state lien rules to file strategy and complex issues.

Keep thorough documentation of all lien resolution activity that meets internal standards and regulatory requirements. Stay current on lien resolution law, regulations, and industry practice, and share relevant changes with the team.