Responsibilities
- Lead, coach, and manage a team of Reductions Specialists in a high-volume environment
- Oversee all post-settlement workflows, ensuring timely case closure and performance against KPIs
- Track and manage metrics including: Turnaround time, Reduction outcomes, Closing statement completion, Department productivity
- Utilize Litify (Salesforce) and BI tools to monitor and drive performance
- Own the pre-disbursement audit process to ensure cases are financially accurate and compliant before funds are released
- Conduct case settlement reviews, including: Settlement breakdown validation, Closing statement (HUD) review, Settlement disbursement review
- Perform post-settlement audits to identify errors, trends, and improvement opportunities
- Ensure full audit compliance across all closed files
- Oversee financial reconciliation of settlement proceeds
- Oversee cost verification and expense auditing
- Oversee vendor invoice review
- Oversee billing accuracy and write-offs/adjustments
- Validate attorney fee calculations and contingency fee structures
- Ensure complete and accurate case cost analysis before disbursement
- Guide team on medical bill reductions and provider negotiations
- Oversee resolution of: Healthcare liens, Medicare / Medicaid liens, ERISA liens, Subrogation claims
- Provide escalation support for complex lien negotiation strategies
- Ensure proper documentation of all negotiations and approvals
- Oversee medical billing review and hospital billing audits when required
- Ensure proper medical records review supports reduction strategy
- Validate billing details, including familiarity with CPT / ICD codes when necessary
- Ensure balance verification across all settlement components
- Identify inefficiencies in the demand-to-settlement process and implement improvements
- Develop and maintain SOPs for: Reductions, Case audit, Disbursement readiness
- Strengthen file audit / case audit protocols to reduce errors and improve consistency
- Provide ongoing coaching, training, and performance feedback
- Conduct regular 1:1s and team meetings
- Train team on: Reduction strategies, Lien handling, Settlement auditing standards
- Build accountability and a high-performance culture
- Ensure clients receive clear, timely communication regarding: Settlement outcomes, Reductions, Final disbursement
- Maintain high service standards aligned with firm expectations
Requirements
- Data-driven operations leader
- Strong expertise in reductions, lien resolution, settlement review, and financial accuracy
- Proven ability to drive performance, improve processes, and develop a high-performing team
Nice to Have
- Experience with Litify (Salesforce) and BI tools
- Familiarity with CPT / ICD codes
Benefits
- Bonus
Team
Structure: Leads and manages a team of Reductions Specialists
