Remote MVA/TPL Resolution Specialist II

Revco Solutions, Inc.; United States; Teletrabalho; USD 70 000 - 100 000; Tempo integral

Resumo da oferta

Revco Solutions, Inc. is seeking a MVA/TPL Resolution Specialist II to work fully remotely.

The role involves independently investigating, negotiating, and resolving complex hospital accounts related to Motor Vehicle Accident and Third-Party Liability claims. You will collaborate with insurance carriers, claims adjusters, attorneys, patients, and other parties to maximize client recovery while protecting lien rights.

Qualificações

• 3–5+ years of experience in MVA/TPL, bodily injury claims, subrogation, medical lien resolution, complex healthcare reimbursement, or related liability-claims environment.
• Direct hospital or provider-side revenue cycle experience strongly preferred.
• Demonstrated experience independently investigating accident-related claims and identifying available insurance coverage and other sources of reimbursement.
• Demonstrated experience communicating and negotiating with liability insurance carriers, claims adjusters, attorneys, and other external parties.
• Working knowledge of hospital liens and lien-related reimbursement processes.

Responsabilidades

• Independently manage complex MVA/TPL accounts from initial investigation through final resolution.
• Analyze registration, diagnosis, accident, insurance, clinical, billing, payment, legal, and account information to determine recovery strategy.
• Conduct detailed investigation of accident circumstances, responsible parties, liability status, available coverage, claim numbers, policy-limit concerns, attorney representation, multiple claimants, and other potential sources of reimbursement.
• Identify and pursue primary, secondary, and alternative sources of recovery.
• Evaluate complex hospital lien circumstances and determine appropriate lien actions within requirements and client guidelines.
• Prepare, submit, document, monitor, and manage hospital liens and related notices.
• Monitor settlement developments, lien deadlines, documentation requirements, coverage issues, and other critical milestones.
• Communicate and negotiate with liability carriers, adjusters, attorneys, patients, and other parties concerning complex account resolution.

Conhecimentos

MVA/TPL experience

Negotiation

Complex account analysis

Healthcare reimbursement

HIPAA compliance

Ferramentas

EPIC

Cerner

Meditech

CRXIS

Descrição da oferta de emprego

Revco Solutions, Inc. is seeking a MVA/TPL Resolution Specialist II to work fully remotely.

The role involves independently investigating, negotiating, and resolving complex hospital accounts related to Motor Vehicle Accident and Third-Party Liability claims. You will collaborate with insurance carriers, claims adjusters, attorneys, patients, and other parties to maximize client recovery while protecting lien rights.