Patient Service Representative I

About the role

We are currently seeking an Patient Service Representative I in Orange County, CA. If you thrive in a dynamic environment where innovation and impact go hand in hand, this is the opportunity for you.

Responsibilities

• Educates physicians and clinical staff on Breg's orthopedic bracing and supply program, serving as a resource on product options, equipment use, and specialized applications.
• Demonstrates and maintains competency in the fitting and use of Breg products in alignment with training requirements, clinical guidelines, and company standards.
• Accurately measures and fits patients with orthopedic soft goods and functional bracing, providing clear instructions on proper use and care and communicating expected outcomes to both patients and healthcare providers (HCPs).
• Delivers exceptional patient service and timely follow-up in accordance with company policies, procedures and management expectations.
• Captures and manages inventory levels at assigned accounts, managing inventory transfers and reconciliation activities.
• Proactively reduces stagnant inventory by removing and processing expired, damaged, or unsellable products in accordance with company policy.
• Supports order fulfillment activities and ensures all documentation is complete and accurate for each account.
• Ensures product displays, storage areas, and inventory spaces meet Breg's operational standards.
• Provides onsite support for product recalls, audits, and/or field communication initiatives.
• Safeguards all required inventory counts on time and accurately, supporting inventory reconciliation and compliance efforts.
• Prepares, compiles, and submits insurance billing documentation in compliance with established internal standards and submission requirements, ensuring all documentation is complete, accurate, and submitted within required timelines.
• Reviews and works pending claims by retrieving required missing information from customers, identifying and escalating trends in documentation deficiencies, and utilizing systems such as Power BI, Breg Vision, and the Breg Claims System (BCS) to support daily operations and improve billing outcomes.
• Coordinates with the Breg Billing Office (BBO) to obtain pre-authorization for workers Compensation and Commercial insurance patients, and collects required co-insurances, deductibles and cash-pay amounts as applicable.
• Collaborates with internal departments to collect, track, and maintain documentation on claim denials and claims requiring additional information.
• 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.
• Collaborates with internal teams (e.g., Solution Team, Sales, Field Operations) to resolve account issues and enhance service efficiency.
• Behaves in a professional manner both internally and externally in relationships that positively impact the company's reputation and comply with the company's policies and practices.
• Promotes Breg's culture within the organization using established tools such as storytelling, providing focused feedback, and recognition.

Qualifications

• Associates 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.
• Holds and maintains applicable certification or licensure such as American Board Certification (ABC) Certified Fitter-orthotics (CFo), Board of Certification (BOC), Athletic Training licensure, Orthopaedic Technologist Certification, preferred.
• Familiarity with standard workflows and procedures in orthopedic clinics or physician offices preferred.
• Knowledge of orthopedic bracing and supply products as well as the applicable procedures for utilization preferred.
• Computer proficient to include web browser/internet search, Microsoft (MS) Outlook, Word, Excel, PowerPoint, and Teams capabilities.
• Technical competence includes the ability to learn new software and systems.

Skills

• Effective communicator both in writing and verbally.
• Expertise in planning, executing, controlling, and delivering.
• Ability to engage with patients and provide excellent customer service even in escalated situations.

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.

For more information regarding Company benefits, please see here.

Pay

Salary Range $27.00-$34.00 USD Hourly. Actual compensation is determined by factors such as experience, skills, and business needs.

Schedule

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.