Billing Administrative Support
Job Description Job Description POSITION SUMMARY The Billing Administrative Support position is responsible for accurately processing and paying workers’ compensation claims while providing responsive assistance to injured workers, providers, payers, and clinic staff. This role ensures that all billing and lien activities comply with state workers’ compensation regulations, payer policies, and internal procedures, supporting a timely and compliant revenue cycle for the clinic. ESSENTIAL DUTIES AND RESPONSIBILITIES Perform high-volume data entry with accuracy and timeliness to support billing operations Process and distribute incoming mail and correspondence, ensuring proper routing and tracking Prepare and mail initial billing statements (HCFA forms) with supporting documentation Scan, label, and maintain billing documents, including EOBs/EORs, checks, and correspondence Identify and assist in resolving missing EOB/EOR items for reconciliation purposes Support lien-related activities, including: Preparing, filing, and sending lien documents and Declarations of Readiness (DORs) Updating lien tracking spreadsheets and maintaining lien calendars Organizing and filing lien documentation Processing liens through the Electronic Adjudication Management System (EAMS) Assist with document preparation and submission to hearing representatives and collection agencies Answer incoming calls professionally and route inquiries appropriately Assist claimants, providers, and internal stakeholders with billing-related questions Compile and prepare reports, spreadsheets, and statistical data as requested Maintain compliance with workers’ compensation regulations, payer guidelines, and internal procedures Collaborate closely with the Billing Manager and Billing Supervisor to support departmental goals Attend billing department meetings and participate in process improvement efforts Perform other duties and special projects as assigned Qualifications Required (Education, Experience, AND Skills) High School Diploma or GED required Minimum 2 year's experience with Worker’s Compensation appeals and collections Reliable, with a passion for commercial, Medicare and Worker’s Compensation collections Quick and accurate keyboarding skills Working knowledge with IMS software a plus Friendly and self-motivated Knowledge of the ins and outs of Worker’s Compensation rules Working knowledge of medical terminology Proficiency in billing software systems Proficiency in Microsoft Office (Word and Excel) Strong attention to detail and accuracy Excellent time management and organizational skills Ability to meet deadlines in a fast-paced environment Strong written and verbal communication skills Ability to work independently and collaboratively Professional, calm, and customer-focused demeanor PREFERRED · Bilingual in English and Spanish · Experience in a multi-specialty or pain management practice · Certified Professional Coder (CPC) certification preferred · Certified Coding Specialist (CCS) certification preferred Physical Demands and Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform these functions. While performing the duties of this position, the employee is regularly required to communicate clearly and effectively, both verbally and in writing, with patients, staff, and vendors. The employee is frequently required to use hands and fingers to handle, feel, type, and operate computers, telephones, and other standard office and medical administrative equipment. The employee is primarily required to sit for extended periods; occasional standing, walking, and reaching with hands and arms may be necessary. The employee may occasionally be required to stoop, kneel, or bend to retrieve files, supplies, or office equipment. The employee must occasionally lift and/or move up to 20–25 pounds (e.g., files, supply boxes, or office equipment). Specific vision abilities required include close vision, distance vision, color vision, and the ability to adjust focus for computer work and reviewing documents. The noise level in the work environment is generally moderate, consistent with a standard office or clinic setting, and tasks are often performed in close proximity to other staff. Disclaimer This job description is not intended to state or imply that these are the only duties to be performed by the employee(s) assigned to this position. Employees may be required to follow additional job-related instructions and perform other job-related duties as assigned by authorized supervisors or managers. All duties and responsibilities are considered essential functions and requirements and may be subject to modification to reasonably accommodate qualified individuals with disabilities. To perform this job successfully, incumbents must possess the knowledge, skills, and abilities necessary to carry out each duty proficiently. Certain requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. \nCompany Description Pain & Rehabilitative Consultants Medical Group (PRCMG) is a leading Northern and Central California practice providing comprehensive, evidence-based pain management and rehabilitative care through a multidisciplinary team dedicated to improving function and quality of life. Company Description Pain & Rehabilitative Consultants Medical Group (PRCMG) is a leading Northern and Central California practice providing comprehensive, evidence-based pain management and rehabilitative care through a multidisciplinary team dedicated to improving function and quality of life.
