Benefits:Resolution Specialist
Join the Medstar Inc team, where we’ve helped people navigate complex recoveries and built our reputation on one belief:
mobility is freedom, and freedom changes lives. Healing goes beyond restoring range of motion, it’s about rebuilding confidence, documenting progress, and returning patients to the lives they love
We are searching for a Resolution Specialist that will be responsible to manage outstanding accounts receivable, negotiating with insurance adjusters and defense attorneys, and resolve billing or lien disputes and recovering payments for medical bills, liens, and related expenses tied to the workplace injury claims. The person will coordinate with insurance adjusters, attorneys, and medical providers to verify balances, resolve billing disputes, and ensure compliance with state labor and injury laws.
Key Responsibilities- Claim & Bill Verification: Review workers' compensation case files, medical invoices, and lien amount to confirm validity and accuracy
- Negotiation & Resolution: Negotiate balances and payouts with claims adjusters, defense attorneys, and lien resolution specialists and defense attorneys to settle outstanding balances.
- Account Follow-Up: Track and follow up on unpaid or delinquent, denied, or short-paid WC claims with insurance carriers and third-party administrators via phone, mail, and electronic portals to secure timely payments.
- Record Keeping: Maintain detailed logs of all collection activities, payment receipts, settlement agreements, and stakeholder correspondence.
- Compliance: Ensure all recovery and lien actions align with state-specific workers' compensation regulations and fee schedules, labor codes, and HIPPA privacy regulations
- Litigation Preparation: Analyze older accounts (often >1 year) and compile documentation for legal hearings or lien trials
Required Qualifications- Education: High school diploma or equivalent required; an associate or bachelor’s degree in business, finance, or paralegal background preferred
- Experience: 1 to 3+ years of experience in workers' compensation claims, medical billing, or insurance collections.
- Knowledge: Familiarity with medical terminology, state labor codes, and workers' compensation guidelines.
- Skills: Strong negotiation, problem-solving, verbal communication, and computer/data entry proficiency.
Let’s get people back to what makes them feel good. Apply today!
careers@medstarinc.com
Location of OPEN positions:
Covina