Billing Administrative Support

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 operationsProcess and distribute incoming mail and correspondence, ensuring proper routing and trackingPrepare and mail initial billing statements (HCFA forms) with supporting documentationScan, label, and maintain billing documents, including EOBs/EORs, checks, and correspondenceIdentify and assist in resolving missing EOB/EOR items for reconciliation purposesSupport lien-related activities, including:Preparing, filing, and sending lien documents and Declarations of Readiness (DORs)Updating lien tracking spreadsheets and maintaining lien calendarsOrganizing and filing lien documentationProcessing liens through the Electronic Adjudication Management System (EAMS)Assist with document preparation and submission to hearing representatives and collection agenciesAnswer incoming calls professionally and route inquiries appropriatelyAssist claimants, providers, and internal stakeholders with billing-related questionsCompile and prepare reports, spreadsheets, and statistical data as requestedMaintain compliance with workers’ compensation regulations, payer guidelines, and internal proceduresCollaborate closely with the Billing Manager and Billing Supervisor to support departmental goalsAttend billing department meetings and participate in process improvement effortsPerform other duties and special projects as assigned Qualifications Required (Education, Experience, AND Skills) High School Diploma or GED requiredMinimum 2 year's experience with Worker’s Compensation appeals and collectionsReliable, with a passion for commercial, Medicare and Worker’s Compensation collectionsQuick and accurate keyboarding skillsWorking knowledge with IMS software a plusFriendly and self-motivatedKnowledge of the ins and outs of Worker’s Compensation rulesWorking knowledge of medical terminologyProficiency in billing software systemsProficiency in Microsoft Office (Word and Excel)Strong attention to detail and accuracyExcellent time management and organizational skillsAbility to meet deadlines in a fast-paced environmentStrong written and verbal communication skillsAbility to work independently and collaborativelyProfessional, 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. 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. 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.