Personal Injury Billing and Collections Representative

Personal Injury Billing and Collections Representative Progressive Spine and Orthopaedics

LLC - 1.0

Clifton, NJ Job Details Full-time 1 day ago Benefits Opportunities for advancement Qualifications Debt collection phone call Healthcare dispute resolution Customer communication Microsoft Outlook Insurance claims settlement negotiation Debt settlement analysis Achieving HIPAA compliance Spreadsheets HIPAA Claims negotiation Medical claims processing software Personal injury law High school diploma or

GED ICD-10 HCPCS

Records management Personal injury dispute resolution Clinical information systems Medical explanation of benefits reviews Outbound calling Personal injury litigation support Clinical confidentiality policies Clinical documentation standards Managing patient records Debt collection negotiation Medical debt collection accounts Technical Proficiency Collections account management Patient collections management

Full Job Description Job Title:

Personal Injury Billing & Collections Representative Personal Injury Experience Required —

Liens, Settlements, and Attorney COMPANY:

Progressive Billing

PAY RANGE

OPM Pay Grade 7 (Hourly)

FLSA Status:

Non-Exempt Preferred Specialties:

Personal Injury Orthopedic Neuro Spine Pain Management Chiropractic Podiatry Position Summary:

Manage the full lifecycle of billing, collections, lien followup, 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, thirdparty liability claims, and injuryrelated medical treatment.

Key Responsibilities:

Personal Injury Billing & Collections Monitor and follow up on outstanding personal injury accounts, liens, and settlementrelated 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 injuryrelated 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 highvalue 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, thirdparty 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 highdollar 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 writeoffs according to company policy. Ensure proper account closure once payment, reduction, or writeoff is completed.

Required Skills & Qualifications:

Experience:

35 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 thirdparty liability claims required. Experience in Orthopedic, Neuro Spine, Pain Management, Chiropractic, Podiatry, or surgical billing strongly preferred. Strong understanding of CPT, ICD10, HCPCS, EOBs, itemized statements, and medical documentation. Knowledge of personal injury case flow, including treatment, attorney representation, settlement negotiation, and lien recovery. Experience handling highbalance medical accounts and negotiating payment resolutions.

Technical Proficiency:

Experience with medical billing software, EHR systems, claims management platforms, and account followup 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, followup, and conflictresolution skills. Ability to explain balances, liens, settlement expectations, and billing details clearly. Comfortable making highvolume outbound calls and managing attorney correspondence.

Problem-Solving:

Strong analytical and detailoriented approach to resolving account discrepancies. Ability to prioritize highdollar and timesensitive accounts. Ability to manage multiple cases, deadlines, and followup tasks in a fastpaced 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:

Officebased position Standard working hours, MondayFriday Occasional overtime may be required to meet collection goals, settlement deadlines, or urgent account needs Collaborative team environment with opportunities for growth and advancement

Preferred Candidate Profile:

Experienced in personal injury medical billing and collections Strong understanding of attorney followup, lien recovery, and settlement collections Organized, professional, persistent, and detailoriented Comfortable managing highvalue injuryrelated accounts Able to communicate effectively with law firms, patients, insurance representatives, and internal departments