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Progressive Spine & Orthopaedics · 6 days ago

Personal Injury Protection (PIP) Collections Representative

Englewood, NJ

Full-time

Onsite

Senior Level

5+ years exp

Progressive Spine & Orthopaedics is seeking a detail-oriented and organized PIP Representative to join their medical billing team. The ideal candidate will have strong experience in Personal Injury Protection (PIP) insurance and will be responsible for coordinating between patients, insurance adjusters, and legal professionals to ensure claims are properly submitted and reimbursed under PIP coverage.

Health CareHospitalMedical

Responsibilities

Verify PIP insurance coverage and collect all necessary claim details

Coordinate with patients, attorneys, and adjusters to obtain documentation such as AOBs, LOPs, and accident reports

Ensure all intake forms and consents are accurately completed and filed

Request, compile, and organize medical records and itemized bills for PIP claims

Confirm accuracy of CPT and ICD-10 coding for all services rendered

Submit PIP claims to auto insurers and perform timely follow-ups to ensure payment

Act as the primary point of contact for:

Insurance companies (coverage verification, payments, denials)

Attorneys (treatment updates, records, lien management)

Patients (billing questions, documentation requests)

Track and monitor payments, denials, and appeals to maintain up-to-date claim status

Prepare and maintain Letters of Protection (LOPs), Assignments of Benefits (AOBs), and lien documents

Respond promptly to requests from attorneys and insurance carriers for medical records and billing details

Assist with preparation of final billing summaries for case settlements or litigation proceedings

Maintain detailed PIP tracking logs for all patients, including billed amounts, payments, and outstanding balances

Submit appeals and corrected claims as needed to ensure proper reimbursement

Ensure compliance with HIPAA regulations and state-specific PIP laws (particularly NJ & NY)

Qualification

PIP claims experiencePIP lawsMedical billing systemsMicrosoft Office proficiencyMedical billing certificationLegal documentation familiarityExperience in orthopedic settingsCommunication skills