Patient Service Representative I
Posted 21ds ago
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Job Description
Patient Service Representative fitting orthopedic braces and supporting patients for Breg, an orthopedic solutions provider. Managing inventory, insurance billing, claims, and account service.
Responsibilities:
- Educate physicians and clinical staff on Breg's orthopedic bracing and supply program, product options, equipment use, and specialized applications
- Demonstrate and maintain competency in fitting and using Breg products
- Measure and fit patients with orthopedic soft goods and functional bracing
- Provide instructions on product use and care and communicate expected outcomes to patients and healthcare providers
- Deliver patient service and timely follow-up
- Coordinate product logistics, replenishment, inventory transfers, and reconciliation
- Remove and process expired, damaged, or unsellable products
- Support customer ordering, product returns, delivery updates, and order fulfillment
- Maintain product displays, storage areas, and inventory spaces
- Provide onsite support for recalls, audits, and field communications
- Complete inventory counts and support reconciliation and compliance
- Prepare, compile, and submit insurance billing documentation
- Review pending claims, retrieve missing information, identify documentation deficiencies, and use Power BI, Breg Vision, and Breg Claims System (BCS)
- Obtain pre-authorization and collect applicable co-insurances, deductibles, and cash-pay amounts
- Track claim denials and claims requiring additional information with internal departments
- Collaborate with Solution Team, Sales, and Field Operations to resolve account issues
- Prepare daily, weekly, and monthly reports, analyze trends, and identify process improvements
- Promote Breg's culture of commitment and accountability
Requirements:
- Associate degree in a Healthcare-related field, completion of an approved healthcare certification or certificate program, or equivalent combination of relevant education and hands-on experience in orthotics, athletic training, sports medicine, durable medical equipment (DME), or patient care required
- Applicable certification or licensure such as American Board Certification (ABC) Certified Fitter-orthotics (CFo), Board of Certification (BOC), Athletic Training licensure, or Orthopaedic Technologist Certification preferred
- Familiarity with standard workflows and procedures in orthopedic clinics or physician offices preferred
- Knowledge of orthopedic bracing and supply products and applicable utilization procedures preferred
- Computer proficiency, including web browser/internet search, Microsoft Outlook, Word, Excel, PowerPoint, and Teams
- Ability to learn new software and systems
- Effective written and verbal communication
- Ability to engage with patients and provide excellent customer service in escalated situations
- Must comply with HIPAA, FDA requirements, Breg policies, and standard operating procedures
Benefits:
- Medical, dental, vision, disability, and life insurance, effective the first of the month after hire
- Paid Time Off (PTO)
- Company-paid holidays
- Opportunities for professional advancement
- Equal Employment Opportunity workplace fostering diversity and inclusion
