Job Title: Personal Injury Billing & Collections Representative Personal Injury Experience Required - Liens, Settlements, and Attorney COMPANY: Progressive BillingPAY RANGE: OPM Pay Grade 7 (Hourly)FLSA Status: Non-ExemptPreferred Specialties:- Personal Injury- Orthopedic- Neuro Spine- Pain Management- Chiropractic- PodiatryPosition Summary:- Manage the full lifecycle of billing, collections, lien follow-up, and settlement recovery for personal injury medical claims.- Ensure accurate account documentation, timely attorney communication, and proper handling of liens and Letters of Protection.- Track cases from initial treatment through settlement or final resolution.- Work closely with attorneys, insurance adjusters, patients, providers, and internal billing teams.- Support recovery of outstanding balances related to motor vehicle accidents, third-party liability claims, and injury-related medical treatment.Key Responsibilities:- Personal Injury Billing & Collections- Monitor and follow up on outstanding personal injury accounts, liens, and settlement-related balances.- Communicate with attorneys, law firms, insurance adjusters, providers, and patients regarding case status and payment updates.- Track personal injury claims from date of service through settlement or account closure.- Ensure accurate billing for injury-related services, including orthopedic, neuro spine, pain management, chiropractic, podiatry, and surgical services.- Submit itemized bills, medical records, narratives, and supporting documentation to attorneys and insurance carriers as needed.- Review and update account notes with attorney communication, settlement status, payment promises, and case developments.Attorney & Lien Follow-Up:- Maintain consistent communication with attorney offices regarding open cases, lien status, settlement timelines, and payment updates.- Obtain and verify Letters of Protection, attorney representation letters, lien agreements, and settlement documentation.- Follow up on settled cases to secure timely payment of outstanding medical balances.- Review attorney reduction requests and escalate as appropriate.- Negotiate lien reductions when approved by management and in accordance with company policy.- Escalate delayed, disputed, or high-value accounts to management for review.Dispute Resolution & Negotiation:- Investigate unpaid, underpaid, or disputed personal injury balances.- Review attorney disputes and provide supporting documentation to justify billed charges.- Negotiate reimbursement with attorneys, third-party liability carriers, and other responsible parties.- Identify issues affecting payment, including missing documentation, disputed treatment, case dismissal, policy limits, or settlement delays.- Work with billing, coding, authorization, and clinical teams to resolve account discrepancies.Patient Communication:- Communicate professionally with patients regarding personal injury balances, attorney information, lien status, and billing questions.- Explain patient responsibility when applicable.- Assist patients with providing attorney contact information, claim details, and required case documentation.- Maintain professionalism and confidentiality when discussing sensitive legal and medical matters.Documentation & Reporting:- Maintain accurate records of all collection activity, attorney communication, settlement updates, lien negotiations, and payment activity.- Generate reports on outstanding personal injury accounts, settled cases pending payment, lien reductions, and collection trends.- Track high-dollar injury cases and provide regular updates to management.- Ensure documentation complies with HIPAA, company policies, and applicable billing guidelines.Payment Posting & Reconciliation:- Review received payments and reconcile them against outstanding personal injury balances.- Identify discrepancies between expected settlement payments and amounts received.- Process approved adjustments, reductions, refunds, and write-offs according to company policy.- Ensure proper account closure once payment, reduction, or write-off is completed.Required Skills & Qualifications:Experience:- 3-5 years of medical billing and collections experience required.- Strong personal injury billing and collections experience required.- Experience working with attorneys, liens, Letters of Protection, settlement payments, and third-party liability claims required.- Experience in Orthopedic, Neuro Spine, Pain Management, Chiropractic, Podiatry, or surgical billing strongly preferred.- Strong understanding of CPT, ICD-10, HCPCS, EOBs, itemized statements, and medical documentation.- Knowledge of personal injury case flow, including treatment, attorney representation, settlement negotiation, and lien recovery.- Experience handling high-balance medical accounts and negotiating payment resolutions.Technical Proficiency:- Experience with medical billing software, EHR systems, claims management platforms, and account follow-up tools.- Proficient in Microsoft Excel, Outlook, and reporting tools.- Strong ability to maintain organized records and detailed account notes.- Knowledge of HIPAA compliance and best practices for protecting patient and case information.Communication Skills:- Excellent written and verbal communication skills.- Ability to communicate professionally with attorneys, patients, providers, insurance carriers, and internal teams.- Strong negotiation, follow-up, and conflict-resolution skills.- Ability to explain balances, liens, settlement expectations, and billing details clearly.- Comfortable making high-volume outbound calls and managing attorney correspondence.Problem-Solving:- Strong analytical and detail-oriented approach to resolving account discrepancies.- Ability to prioritize high-dollar and time-sensitive accounts.- Ability to manage multiple cases, deadlines, and follow-up tasks in a fast-paced environment.- Ability to work independently and collaborate with billing, clinical, and administrative teams.Education:- High school diploma or equivalent required.- Associate's or Bachelor's degree in Healthcare Administration, Business, Legal Studies, or related field preferred.- Medical billing, coding, or healthcare collections certification preferred but not required.Work Environment:- Office-based position- Standard working hours, Monday-Friday- Occasional overtime may be required to meet collection goals, settlement deadlines, or urgent account needs- Collaborative team environment with opportunities for growth and advancementPreferred Candidate Profile:- Experienced in personal injury medical billing and collections- Strong understanding of attorney follow-up, lien recovery, and settlement collections- Organized, professional, persistent, and detail-oriented- Comfortable managing high-value injury-related accounts- Able to communicate effectively with law firms, patients, insurance representatives, and internal departmentsPI240c7f5f72e6-6140
Personal Injury Billing And Collections Representative
PROGRESSIVE SPINE AND ORTHOPAEDICS LLC
New Jersey, Clifton