Patient Access Lead

Join Our Team and Keep Moving Forward with Breg!

At Breg we are dedicated to advancing orthopedic solutions that enhance the lives of patients and support healthcare professionals. As a leader in the orthopedic industry we provide innovative products consulting technology and services that help people move forward with confidence.

We are currently seeking a Patient Access Lead to join our team onsite at one of the following locations: Oklahoma City OK Dallas TX or Chapel Hill NC. If you thrive in a dynamic environment where innovation and impact go hand in hand this is the opportunity for you.

Who You Are

You are a forward-thinking professional who values collaboration innovation and making a meaningful difference. You bring expertise in communicating effectively both written and verbally and are eager to contribute to a team that is committed to delivering exceptional patient outcomes.

What Youll Do

As a Patient Access Lead you will:

• Monitors operational performance and drives achievement of daily weekly and monthly operational objectives
  including claim processing and reimbursement collections and key metrics expectations recommending
  corrective actions as needed.
• Serves as escalation point for complex patient inquiries and concerns related to orders referrals authorizations
  and billing matters exercising independent judgment to facilitate resolution.
• Functions as a subject matter expert (SME) for Patient Access operations assisting with claim volume management
  and providing guidance consultation and support to team members and cross-functional partners.
• Contributes to the development implementation and continuous improvement of Patient Access workflows billing
  processes and operational procedures to enhance efficiency productivity quality patient satisfaction and
  reimbursement outcomes.
• Ensures adherence to Standard Operating Procedures (SOPs) work instructions and established quality standards
  across all non-clinical operations.
• Partners with leadership to ensure effective onboarding training coaching and continuous learning initiatives for
  Patient Access team members and external sales partners as needed.
• Collaborates proactively with Field Inventory Leadership and cross-functional teams to support timely product
  delivery and an exceptional patient experience.
• Maintains a thorough understanding of clinical documentation requirements and ensures accurate collection and
  review of necessary patient and claim information.
• Coordinates and prioritizes administrative and operational tasks that support business needs and the day-to-day
  activities of the Patient Access organization.
• Builds and maintains effective working relationships with internal departments healthcare providers patients
  payers and business partners to promote effective communication and operational success.
• Demonstrates professionalism and accountability by influencing positive team performance driving engagement
  and fostering customer service excellence.
• Oversees the Patient Service Center (PSC) administration functions communicating operational disruptions
  including power outages severe weather events or other circumstances impacting PSC operations to appropriate
  leadership and support teams.
• Prepares and distributes operational reports and business reviews for key stakeholders identifying trends and
  opportunities related to patient referrals order activity and service performance.
• Partners with the Revenue Cycle Management (RCM) and Payor Contract teams to ensure compliance with payorspecific
  requirements including insurance verification benefits review prior authorization claim processing and
  patient financial responsibilities.
• Ensures patient services and billing activities are conducted in accordance with organizational compliance
  requirements payer guidelines and applicable accreditation standards.
  
• Adheres to all Breg policies standard operating procedures (SOPs) and applicable healthcare regulations including
  Health Insurance Portability and Accountability Act (HIPAA) and Food and Drug Administration (FDA) requirements.
• Responsible for behaving in a professional manner both internally and externally in relationships that positively
  impact the companys reputation and comply with the companys policies and practices. Responsible for being
  accountable and committed to demonstrating Bregs cultural beliefs and achieving the key results of the company.
• Responsible for promoting Bregs culture within the organization using established tools such as storytelling
  providing focused feedback and recognition. The performance of the position is aligned with with the culture of
  commitment and accountability following the steps of: See it Own it Solve it and Do it.

What You Bring

Associates degree in an applicable field of study required. Experience may be considered in lieu of degree.
Minimum of 2 years of experience in a healthcare environment in a medical billing capacity or another applicable
role required.
Experience with medical insurance billing in a Durable Medical Equipment Orthotics Prosthetics and Supplies
(DMEPOS) environment strongly preferred.
Knowledge of EMR systems and understanding of where various data points and clinical information is located
strongly preferred.
Demonstrated ability to analyze data identify patterns and assess process effectiveness required.
Previous medical records experience including EMR navigation general billing knowledge Current Procedural
Terminology (CPT) Healthcare Common Procedure Coding System (HCPCS) coding and ICD-10 codes preferred.
Knowledge of standard medical terminology basic human anatomy orthopedic diagnoses and medical record
format content and medical documentation order preferred.
Computer proficient to include web browser/internet search Microsoft (MS) Outlook Word Excel Teams and
PowerPoint capabilities. Technical competence includes the ability to learn new software and systems.

Why Breg

At Breg we invest in our people and culture. We offer:

• Comprehensive Benefits: Medical dental vision disability and life insurance effective the first of the month after hire.
• Work-Life Balance: Paid Time Off (PTO) and company-paid holidays.
• Growth & Development: Opportunities for professional advancement within a company that values your contributions.
• Commitment to Diversity & Inclusion: Breg is proud to be an Equal Employment Opportunity employer fostering a diverse and inclusive workplace.
• For more information regarding Company benefits please see Range: $48000-$65000 USD Annually. Actual compensation is determined by factors such as experience skills and business needs. This range reflects the minimum and maximum target range for new hire base salary/pay across all US locations. Actual pay is based on many factors unique to each candidate including but not limited to geographical location work experience skill set relevant trainings and certifications and business needs. The base pay range is subject to change and may be modified in the future. This role may also be eligible for bonus.

  Ready to Move Forward

  If youre ready to be part of a company that is redefining orthopedic care apply today at is an Equal Employment Opportunity Employer and dedicated to a diverse work force and Drug Free work environment. EOE/Minorities/Females/Vet/Disabled are encouraged to apply.

  Applicants must be currently authorized to work in the United States on a full-time basis. The Company will not sponsor applicants for work visas for this position.

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