Patient Service Representative I

Patient Service Representative I

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 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.

You are a forward-thinking professional who values collaboration, innovation, and making a meaningful difference. You bring expertise in the ability to plan, execute, control and deliver. Must be an effective communicator both in writing and verbally. Must be able to engage with patients and provide excellent customer service even in escalated situations.

What You'll Do:

• 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.
• Coordinates orthopedic bracing product logistics and replenishment, proactively maintaining inventory levels at assigned accounts and managing inventory transfers and reconciliation activities.
• Proactively reduces stagnant inventory by removing and processing expired, damaged, or unsellable products in accordance with company policy.
• Delivers comprehensive inventory management support to customers, including ordering and returning product, and providing ongoing communication and timely updates regarding estimated delivery.
• 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.
• Ensures all required inventory counts are completed 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.
• In coordination with the Breg Billing Office (BBO), obtains pre-authorization for workers Compensation and Commercial insurance patients, and collects required co-insurances, deductibles and cash-pay amounts as applicable.
• Coordinates with the 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.
• Demonstrates a high level of professionalism, privacy, and accuracy in all interactions and activities.
• Prepares daily, weekly and monthly reports for management and account review, analyzing data for trends and identifying opportunities for process or performance improvement.
• Responsible for behaving 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.
• Responsible for being accountable and committed to demonstrating cultural beliefs and achieving the key results of the company.
• Responsible for promoting Breg's culture within the organization using established tools such as storytelling, providing focused feedback, and recognition.
• The performance of the position is aligned 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 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.

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.

Compensation Salary Range $27.00-$34.00 USD Hourly. 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.