Personal Injury Billing and Collections Representative
2 days ago
Clifton
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 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 advancement Preferred 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 departments PI64607ecd698a-37820-40690140