Overview
Personal Injury Billing and Collections Representative Jobs in Clifton, USA at Progressive Spine and Orthopaedics LLC
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 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…
Title: Personal Injury Billing and Collections Representative
Company: Progressive Spine and Orthopaedics LLC
Location: Clifton, USA
Category:
