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

Patient Access Representative/ Medical Biller

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 Representative to join our team in Staten Island, NY. If you thrive in a dynamic environment where innovation and impact go hand in hand, this is the opportunity for you.

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.

As a Patient Access Representative, you will:

• 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.
• Collects 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.
• Completes these critical steps prior to the patient fitting.
• Processes all referrals received within the identified timeline.
• 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.
• 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.

What You Bring:

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

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.

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

Compensation Salary Range: $19.50-$26.00/hr. Actual compensation is determined by factors such as experience, skills, and business needs.

Ready to Move Forward? If you're ready to be part of a company that is redefining orthopedic care, apply today at Breg 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.