Patient Access Representative/ Medical Biller (Staten Island, NY)

About the role

At Breg, we are dedicated to advancing orthopedic solutions that enhance the lives of patients and support healthcare professionals. We are currently seeking a Patient Access Representative to join our team in Staten Island, NY.

Responsibilities

• Answers and routes incoming calls using multi-line telephone system.
• Hospitably greets and routes patients, clients, vendors, and other visitors.
• Maintains tidiness of reception and other public areas.
• Locates and processes referrals at the time of visit.
• Checks in upon arrival, registers walk-in patients and identifies existing patients; correctly adds/edits demographic information to include email address, guarantor, and insurance coverage and obtains necessary signatures.
• Verifies eligibility and accurately estimates out of pocket expense.
• Collections co-pays and patient account balances.
• For all same day referrals, on-call referrals, and walk-in patients, obtains medical records and supporting documentation required to successfully register, verify insurance, and meet all payor authorization and documentation requirements.
• Schedules follow up appointments as necessary.
• Reviews and acts on all emails, electronic referrals, and correspondence within one business day.
• May participate in the delivery of Ancillary Products.
• Processes all referrals received within the identified timeline.
• Completes these critical steps prior to the patient fitting.
• Performs pre-scan validation of new claims and supporting documentation to ensure accuracy, timely processing, and revenue recognition.
• Administrative tasks may include receives paper claim documentation, scans claims, tends to mail, overnight shipping, fax, copy, scan, file, office supplies, and general correspondence and ensures efficient office operations.
• Knowledge of EMR systems and understanding of where various data points and clinical information is located.
• Follows and upholds all HIPAA standards and guidelines while discussing and accessing patient information.
• Maintains and updates skills by collaborating with peers, participating in assigned Breg Academy training courses, as well as, reviewing and implementing new SOPs and Work Instructions.
• Promotes Breg’s culture of accountability by demonstration and exemplifying Breg’s cultural beliefs.
• Supports all other Health Information Management System (HIMS) department tasks and clinical location requirements as needed to support the Breg Billing Business.
• Maintains a professional appearance and work environment.
• Collaborate with cross-functional teams to drive excellence in patient care and business solutions.

Requirements

• A high school diploma or equivalent required.
• Working knowledge of medical terminology and standard medical forms preferred.
• Medical Billing experience preferred.
• 1+ year of medical reception experience preferred.
• Computer proficient to include web browser/internet search, MS Outlook, Word, Excel, and Power Point capabilities.
• Technical competence includes the ability to learn new software and systems.

Qualifications

• A passion for innovation and a commitment to Breg’s mission to Keep Moving Forward.

Skills

• Excellent communication skills, both written and verbal.

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: $26.00-$32.00/hr. 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.

Schedule

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