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 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 PIb820b0c53d9a-61405c143e31-5e48-4549-b2d185386