Patient Access Lead

Job Description

Job Description

 

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 Lead to join our team onsite at one of the following locations: Oklahoma City, OK, Dallas, TX, or Chapel Hill, NC. If you thrive in a dynamic environment where innovation and impact go hand in hand, this is the opportunity for you.

Who You Are

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.

What You’ll Do

As a Patient Access Lead, you will:

• Monitors operational performance and drives achievement of daily, weekly, and monthly operational objectives,
  including claim processing and reimbursement, collections, and key metrics expectations, recommending
  corrective actions as needed.
• Serves as escalation point for complex patient inquiries and concerns related to orders, referrals, authorizations,
  and billing matters, exercising independent judgment to facilitate resolution.
• Functions as a subject matter expert (SME) for Patient Access operations, assisting with claim volume management
  and providing guidance, consultation, and support to team members and cross-functional partners.
• Contributes to the development, implementation, and continuous improvement of Patient Access workflows, billing
  processes, and operational procedures to enhance efficiency, productivity, quality, patient satisfaction, and
  reimbursement outcomes.
• Ensures adherence to Standard Operating Procedures (SOPs), work instructions, and established quality standards
  across all non-clinical operations.
• Partners with leadership to ensure effective onboarding, training, coaching, and continuous learning initiatives for
  Patient Access team members and external sales partners, as needed.
• Collaborates proactively with Field Inventory Leadership and cross-functional teams to support timely product
  delivery and an exceptional patient experience.
• Maintains a thorough understanding of clinical documentation requirements and ensures accurate collection and
  review of necessary patient and claim information.
• Coordinates and prioritizes administrative and operational tasks that support business needs and the day-to-day
  activities of the Patient Access organization.
• Builds and maintains effective working relationships with internal departments, healthcare providers, patients,
  payers, and business partners to promote effective communication and operational success.
• Demonstrates professionalism and accountability by influencing positive team performance, driving engagement,
  and fostering customer service excellence.
• Oversees the Patient Service Center (PSC) administration functions, communicating operational disruptions,
  including power outages, severe weather events, or other circumstances impacting PSC operations, to appropriate
  leadership and support teams.
• Prepares and distributes operational reports and business reviews for key stakeholders, identifying trends and
  opportunities related to patient referrals, order activity, and service performance.
• Partners with the Revenue Cycle Management (RCM) and Payor Contract teams to ensure compliance with payorspecific
  requirements, including insurance verification, benefits review, prior authorization, claim processing, and
  patient financial responsibilities.
• Ensures patient services and billing activities are conducted in accordance with organizational compliance
  requirements, payer guidelines, and applicable accreditation standards.
  
• 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.
• 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 Breg’s 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 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 an applicable field of study required. Experience may be considered in lieu of degree.
• Minimum of 2 years of experience in a healthcare environment in a medical billing capacity, or another applicable
role, required.
• Experience with medical insurance billing in a Durable Medical Equipment, Orthotics, Prosthetics and Supplies
(DMEPOS) environment strongly preferred.
• Knowledge of EMR systems and understanding of where various data points and clinical information is located
strongly preferred.
• Demonstrated ability to analyze data, identify patterns, and assess process effectiveness required.
• Previous medical records experience, including EMR navigation, general billing knowledge, Current Procedural
Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) coding, and ICD-10 codes preferred.
• Knowledge of standard medical terminology, basic human anatomy, orthopedic diagnoses, and medical record
format, content and medical documentation order preferred.
• Computer proficient to include web browser/internet search, Microsoft (MS) Outlook, Word, Excel, Teams and
PowerPoint 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.
• For more information regarding Company benefits, please see

Compensation

Salary Range: $48,000-$65,000 USD Annually. 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. This role may also be eligible for bonus.

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.

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