Personal Injury Billing and Collections Representative in Clifton, New Jersey 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 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