Progressive Spine and Orthopaedics LLC
Englewood, New Jersey
Job Title: Scheduling Coordinator Position Summary: The Scheduling Coordinator is responsible for ensuring the accuracy and appropriateness of provider schedules within orthopedic practice. This role reviews daily scheduling operations, verifies insurance coverage, and ensures treatments align with medical necessity, including for Motor Vehicle Accident (MVA) and Personal Injury Protection (PIP) cases. The ideal candidate will have strong operational skills, attention to detail, and experience in a clinical setting. Key Responsibilities: - Review daily provider schedules to ensure appointments are scheduled correctly according to visit type, clinical indication, and provider specialty. - Identify and correct scheduling discrepancies, including inappropriate time allocation or misassigned providers. - Verify insurance eligibility, benefits, and authorizations for all scheduled patients prior to appointments. - Ensure required referrals, pre-certifications, and authorizations are obtained in compliance with payer requirements. - Confirm that scheduled treatments and services align with ordered care plans and medical necessity standards, particularly for MVA and PIP cases. - Escalate potential compliance risks or non-covered services to the leadership team before patient visits to minimize denials and delays in treatment. - Coordinate with clinical staff to resolve any discrepancies between scheduled visits and ordered treatments. - Track and report trends in scheduling accuracy, authorization delays, and operational issues. - Support process improvements to enhance scheduling accuracy, provider utilization, and patient access. Qualifications: - Minimum of 3 years of experience in medical scheduling or healthcare operations, preferably in orthopedic or surgical specialties. - Experience handling MVA and PIP cases, including knowledge of state-specific regulations, claim requirements, and documentation standards. - Understanding of insurance verification, prior authorization processes, and referral requirements. - Proficiency with electronic medical records (EMR) and practice management systems. Skills and Competencies: - Strong attention to detail with the ability to identify and correct scheduling and documentation discrepancies. - Excellent organizational and time-management skills in a fast-paced clinical environment. - Effective communication skills for coordinating with providers, staff, and leadership. - Analytical mindset with the ability to identify trends and support operational improvements. Working Relationships: - Providers (physicians and advanced practice providers) - Scheduling and front desk teams - Authorization and billing departments - Leadership team Performance Metrics: - Reduction in scheduling errors and rescheduled appointments - Decrease in denied claims related to authorization or eligibility issues - Improvement in provider schedule utilization - Compliance with internal and payer standards for scheduling and treatment alignment Why You'll Love Working With Us: - Supportive, team-oriented culture grounded in respect and collaboration - Opportunity to make a meaningful difference in patient care - Stable weekday schedule with no weekends - Comprehensive benefits including: - 401(k) with matching - Health, dental, and vision insurance - Paid time off If you're passionate about healthcare and ready to grow with a high-performing team, apply today and take the next step in your career as a Scheduling Coordinator. Compensation: In accordance with the New Jersey Pay Transparency Act, this position falls within Pay Grade 4 of the 2026 OPM Pay Table for the NY/NJ/CT/PA region. Compensation will be determined based on experience and education. Physical and Work Environment: This role is primarily office-based and requires extended periods of sitting and computer use, with regular review of electronic medical records and provider schedules. PIf3d3ac39bebd-6145
Job Title: Scheduling Coordinator Position Summary: The Scheduling Coordinator is responsible for ensuring the accuracy and appropriateness of provider schedules within orthopedic practice. This role reviews daily scheduling operations, verifies insurance coverage, and ensures treatments align with medical necessity, including for Motor Vehicle Accident (MVA) and Personal Injury Protection (PIP) cases. The ideal candidate will have strong operational skills, attention to detail, and experience in a clinical setting. Key Responsibilities: - Review daily provider schedules to ensure appointments are scheduled correctly according to visit type, clinical indication, and provider specialty. - Identify and correct scheduling discrepancies, including inappropriate time allocation or misassigned providers. - Verify insurance eligibility, benefits, and authorizations for all scheduled patients prior to appointments. - Ensure required referrals, pre-certifications, and authorizations are obtained in compliance with payer requirements. - Confirm that scheduled treatments and services align with ordered care plans and medical necessity standards, particularly for MVA and PIP cases. - Escalate potential compliance risks or non-covered services to the leadership team before patient visits to minimize denials and delays in treatment. - Coordinate with clinical staff to resolve any discrepancies between scheduled visits and ordered treatments. - Track and report trends in scheduling accuracy, authorization delays, and operational issues. - Support process improvements to enhance scheduling accuracy, provider utilization, and patient access. Qualifications: - Minimum of 3 years of experience in medical scheduling or healthcare operations, preferably in orthopedic or surgical specialties. - Experience handling MVA and PIP cases, including knowledge of state-specific regulations, claim requirements, and documentation standards. - Understanding of insurance verification, prior authorization processes, and referral requirements. - Proficiency with electronic medical records (EMR) and practice management systems. Skills and Competencies: - Strong attention to detail with the ability to identify and correct scheduling and documentation discrepancies. - Excellent organizational and time-management skills in a fast-paced clinical environment. - Effective communication skills for coordinating with providers, staff, and leadership. - Analytical mindset with the ability to identify trends and support operational improvements. Working Relationships: - Providers (physicians and advanced practice providers) - Scheduling and front desk teams - Authorization and billing departments - Leadership team Performance Metrics: - Reduction in scheduling errors and rescheduled appointments - Decrease in denied claims related to authorization or eligibility issues - Improvement in provider schedule utilization - Compliance with internal and payer standards for scheduling and treatment alignment Why You'll Love Working With Us: - Supportive, team-oriented culture grounded in respect and collaboration - Opportunity to make a meaningful difference in patient care - Stable weekday schedule with no weekends - Comprehensive benefits including: - 401(k) with matching - Health, dental, and vision insurance - Paid time off If you're passionate about healthcare and ready to grow with a high-performing team, apply today and take the next step in your career as a Scheduling Coordinator. Compensation: In accordance with the New Jersey Pay Transparency Act, this position falls within Pay Grade 4 of the 2026 OPM Pay Table for the NY/NJ/CT/PA region. Compensation will be determined based on experience and education. Physical and Work Environment: This role is primarily office-based and requires extended periods of sitting and computer use, with regular review of electronic medical records and provider schedules. PIf3d3ac39bebd-6145
Progressive Spine and Orthopaedics LLC
Clifton, New Jersey
JOB TITLE: Medical Billing & Collections Representative (Commercial) COMPANY: Progressive Billing PAY RANGE: OPM Pay Grade 7 (Hourly) FLSA Status: Non-Exempt SUMMARY: The Medical Billing & Collections Representative is responsible for managing the full lifecycle of the billing and collections process for professional medical claims, specializing in commercial insurance carriers and out-of-network (OON) reimbursement. This position focuses on ensuring accurate claim submission, timely payments, and effective resolution of denials and underpayments, particularly for Neuro Spine Surgery, Orthopaedic, and Podiatry services. The ideal candidate will bring strong analytical, negotiation, and communication skills with a solid understanding of payer policies and surgical coding. PRIMARY DUTIES AND RESPONSIBILITIES (but not limited to): Collections & Follow-up Monitor and follow up on unpaid or underpaid claims from commercial and OON carriers, focusing on high-value surgical claims. Communicate with insurance carriers, providers, and patients to ensure prompt and accurate claim resolution. Research and appeal denials, including complex procedure denials, ensuring timely and compliant follow-up. Collaborate with internal teams to verify accurate coding and claim documentation for surgical procedures. Dispute Resolution Investigate and resolve OON reimbursement discrepancies to ensure fair and compliant payments. Negotiate reimbursements with insurance carriers and third-party negotiators for complex or high-cost surgeries. Maintain up-to-date knowledge of high-frequency surgical CPT codes, payer policies, and current reimbursement trends. Patient Communication Provide clear and professional explanations of patient statements, surgical charges, and OON responsibilities. Assist patients with setting up payment plans and answering billing-related questions. Documentation & Reporting Maintain accurate records of all billing and collection activities for assigned specialties. • Generate detailed reports on outstanding claims, denials, appeals, and payment trends for management review. Insurance Reconciliation Reconcile received payments against submitted claims to ensure proper reimbursement. Process adjustments, refunds, and write-offs per company policies and payer guidelines. QUALIFICATIONS: Experience 3-5 years of medical billing and collections experience, specializing in commercial insurance and out-of-network billing. Prior experience in Neuro Spine, Orthopedic, or Podiatry billing required. Strong understanding of ICD-10, CPT, and HCPCS coding principles. In-depth knowledge of OON reimbursement structures, EOB interpretation, and payer dispute processes. Technical Proficiency Experience with medical billing and EHR/claims management software. Proficient in MS Excel and reporting tools. Knowledge of HIPAA compliance and best practices for data security. Communication Skills Excellent written and verbal communication for interactions with carriers, patients, and providers. Strong negotiation and conflict-resolution skills. Problem-Solving Analytical and detail-oriented approach to identifying and resolving claim discrepancies. Ability to prioritize and manage multiple tasks in a fast-paced environment. Education High school diploma or equivalent required. Associate's or Bachelor's degree in Healthcare Administration, Business, or related field preferred. PHYSICAL DEMANDS AND WORK ENVIRONMENT: This is an office-based position with standard working hours from Monday through Friday. Occasional overtime may be required to meet deadlines or address urgent claim issues. The role operates within a collaborative team environment that offers opportunities for professional growth and advancement. The above is intended to describe the general content of and requirements for the performance of thisjob. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. PI80c2b08f9ee0-5083
JOB TITLE: Medical Billing & Collections Representative (Commercial) COMPANY: Progressive Billing PAY RANGE: OPM Pay Grade 7 (Hourly) FLSA Status: Non-Exempt SUMMARY: The Medical Billing & Collections Representative is responsible for managing the full lifecycle of the billing and collections process for professional medical claims, specializing in commercial insurance carriers and out-of-network (OON) reimbursement. This position focuses on ensuring accurate claim submission, timely payments, and effective resolution of denials and underpayments, particularly for Neuro Spine Surgery, Orthopaedic, and Podiatry services. The ideal candidate will bring strong analytical, negotiation, and communication skills with a solid understanding of payer policies and surgical coding. PRIMARY DUTIES AND RESPONSIBILITIES (but not limited to): Collections & Follow-up Monitor and follow up on unpaid or underpaid claims from commercial and OON carriers, focusing on high-value surgical claims. Communicate with insurance carriers, providers, and patients to ensure prompt and accurate claim resolution. Research and appeal denials, including complex procedure denials, ensuring timely and compliant follow-up. Collaborate with internal teams to verify accurate coding and claim documentation for surgical procedures. Dispute Resolution Investigate and resolve OON reimbursement discrepancies to ensure fair and compliant payments. Negotiate reimbursements with insurance carriers and third-party negotiators for complex or high-cost surgeries. Maintain up-to-date knowledge of high-frequency surgical CPT codes, payer policies, and current reimbursement trends. Patient Communication Provide clear and professional explanations of patient statements, surgical charges, and OON responsibilities. Assist patients with setting up payment plans and answering billing-related questions. Documentation & Reporting Maintain accurate records of all billing and collection activities for assigned specialties. • Generate detailed reports on outstanding claims, denials, appeals, and payment trends for management review. Insurance Reconciliation Reconcile received payments against submitted claims to ensure proper reimbursement. Process adjustments, refunds, and write-offs per company policies and payer guidelines. QUALIFICATIONS: Experience 3-5 years of medical billing and collections experience, specializing in commercial insurance and out-of-network billing. Prior experience in Neuro Spine, Orthopedic, or Podiatry billing required. Strong understanding of ICD-10, CPT, and HCPCS coding principles. In-depth knowledge of OON reimbursement structures, EOB interpretation, and payer dispute processes. Technical Proficiency Experience with medical billing and EHR/claims management software. Proficient in MS Excel and reporting tools. Knowledge of HIPAA compliance and best practices for data security. Communication Skills Excellent written and verbal communication for interactions with carriers, patients, and providers. Strong negotiation and conflict-resolution skills. Problem-Solving Analytical and detail-oriented approach to identifying and resolving claim discrepancies. Ability to prioritize and manage multiple tasks in a fast-paced environment. Education High school diploma or equivalent required. Associate's or Bachelor's degree in Healthcare Administration, Business, or related field preferred. PHYSICAL DEMANDS AND WORK ENVIRONMENT: This is an office-based position with standard working hours from Monday through Friday. Occasional overtime may be required to meet deadlines or address urgent claim issues. The role operates within a collaborative team environment that offers opportunities for professional growth and advancement. The above is intended to describe the general content of and requirements for the performance of thisjob. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. PI80c2b08f9ee0-5083
Progressive Spine and Orthopaedics LLC
Clifton, New Jersey
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 PI288dbd1cb5-
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 PI288dbd1cb5-