Health Information Management Specialist II (Phoenix)

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.

About the role

If you thrive in a dynamic environment where innovation and impact go hand in hand, this is the opportunity for you. We are seeking a Health Information Management Specialist II to join our team in Phoenix, AZ.

Responsibilities

• Obtains medical records and supporting documentation.
• Proactively works to secure incomplete data for clean submission of claims utilizing EMR access, technology support software, requests for information, and traditional medical record requests.
• Examines documents and determines its proper placement within the paper or electronic record.
• Utilizes critical thinking to complete key job responsibilities, such as medical record retrieval, document labeling, and problem solving within established guidelines.
• Examines patient's medical records and verifies patient identification.
• Performs pre-scan validation of new claims and supporting documentation to ensure accuracy, timely processing, and revenue recognition.
• Works in Breg Claim System (BCS), utilizing patient care documentation and uploaded supporting claim documentation to resolve pending claims.
• Operates at a high level of productivity while upholding accuracy and quality controls.
• Comprehends general medical necessity requirements as stated in the LCD policy article for Breg’s core products.
• Performs administrative tasks and ensures efficient office operations; includes receiving paper claim documentation, scanning claims, handling mail and overnight shipping, faxes, copies, scans, files, purchasing office supplies, and creating general correspondence.
• Maintains and ensures HIPAA compliance for patient medical records and personal health information.
• Meets daily, weekly, and monthly objectives including claim processing, revenue, and achievement of scorecard expectations.
• Promotes Breg’s culture of accountability by demonstration and exemplifies Breg’s cultural beliefs.
• Contributes to the development of Health Information Management processes and procedures to ensure continuous quality improvement.
• Assists and participates in process improvement activities as a subject matter expert.
• Supports all other medical billing and collection tasks as required.
• May meet, greet, and assist patients, vendors, and visitors promptly, efficiently, and in a professional manner.
• May maintain office supplies and equipment by anticipating supply needs.

Requirements

• High school diploma or equivalent required.
• 3+ years of experience in medical billing or HIM related job duties required.
• Previous medical records experience, including EMR navigation, general billing knowledge, CPT and ICD-10 codes required.
• Knowledge of standard medical terminology, basic human anatomy, orthopedic diagnoses, and medical record format, content, and medical documentation order required.
• Knowledge of EMR systems and understanding of where various data points and clinical information is located required.
• Computer proficiency to include web browser/internet search, MS Outlook, Word, Excel, and PowerPoint capabilities.
• Technical competence includes the ability to learn new software and systems.
• Proficient in the use and operation of office machinery, telecommunications, and web-based tools.
• Ability to perform routine maintenance and basic maintenance of scanning equipment preferred.
• Ability to work in a fast-paced environment while remaining calm and professional.
• Ability to maintain consistent, regular attendance and punctuality.

Benefits

• 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.

Pay

Salary Range: $19.00-$26.00/hr. Actual compensation is determined by factors such as experience, skills, and business needs.

Schedule

May include variable start/end times outside of the company’s standard business hours of 8:00 a.m.–5:00 p.m.