Join to apply for the Legal Claims Specialist - Medical Liens role at ARCHER
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Join to apply for the Legal Claims Specialist - Medical Liens role at ARCHER
POSITION SUMMARY:
The Legal Claims Specialist will serve as the primary point of contact for their assigned law firm, providing expertise in identifying health plan types, explaining health plan reimbursement rights, reviewing and disputing unrelated claims, and ensuring the timely resolution of medical liensall with the goal of maximizing the claimants recovery. This position involves identifying and addressing case-specific needsboth internally and externallyand managing a high volume of daily correspondence with law firms and agencies via email and phone. In addition, the Legal Claims Specialist will apply relevant statutes and case law to support the resolution of each lien product, ensuring all assigned cases progress toward resolution and all deliverables assigned to ARCHER are completed accurately and on time. The ideal candidate will have experience in legal assistance, legal writing/research, health care claims processing or a similar field.
Job Details
Description
POSITION SUMMARY:
The Legal Claims Specialist will serve as the primary point of contact for their assigned law firm, providing expertise in identifying health plan types, explaining health plan reimbursement rights, reviewing and disputing unrelated claims, and ensuring the timely resolution of medical liensall with the goal of maximizing the claimants recovery. This position involves identifying and addressing case-specific needsboth internally and externallyand managing a high volume of daily correspondence with law firms and agencies via email and phone. In addition, the Legal Claims Specialist will apply relevant statutes and case law to support the resolution of each lien product, ensuring all assigned cases progress toward resolution and all deliverables assigned to ARCHER are completed accurately and on time. The ideal candidate will have experience in legal assistance, legal writing/research, health care claims processing or a similar field.
POSITION LOCATION: Austin, TX
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, AND ABILITIES
- 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;
- 401(K) retirement plans with matching contributions.
- Comprehensive health insurance coverage.
- Dental and vision insurance plans.
- Parental leave to support work-life balance.
- Short-term and long-term disability coverage.
ARCHER Systems is a leading technology-enabled legal services company that provides pre-settlement and post-settlement administration services for a 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.
ARCHERs 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, 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.
Seniority level
Seniority level
Entry level
Employment type
Employment type
Full-time
Job function
Job function
Legal-
Industries
Law Practice
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