Patient Service Representative I

This is a fully remote position, open to applicants in California.

📋 Description

• Educate physicians and clinical personnel about Breg's orthopedic bracing and supply program, including product options, equipment usage, and specialized applications.

• Fit and utilize Breg products in accordance with training protocols, clinical guidelines, and company standards.

• Measure and fit patients for orthopedic soft goods and functional bracing.

• Provide instructions to patients and healthcare providers regarding product usage, care, and expected outcomes.

• Deliver outstanding patient service and ensure timely follow-ups.

• Coordinate product logistics, including replenishment, ordering, returns, inventory transfers, and reconciliation.

• Maintain appropriate inventory levels and minimize stagnant inventory by processing expired, damaged, or unsellable products.

• Assist with order fulfillment and guarantee that account documentation is complete and accurate.

• Uphold product displays, storage areas, and inventory spaces to meet operational standards.

• Offer onsite support during recalls, audits, and field communication initiatives.

• Accurately complete inventory counts in a timely manner.

• Prepare, compile, and submit insurance billing documentation.

• Review pending claims, gather missing information, identify documentation deficiencies, and utilize Power BI, Breg Vision, and Breg Claims System (BCS).

• Obtain pre-authorization and collect applicable co-insurances, deductibles, and cash-pay amounts.

• Monitor claim denials and claims requiring additional information with internal departments.

• Adhere to Breg policies, SOPs, HIPAA, FDA requirements, and relevant healthcare regulations.

• Collaborate with the Solution Team, Sales, and Field Operations to address account issues and enhance service efficiency.

• Prepare daily, weekly, and monthly management and account review reports, analyzing trends and opportunities for process improvement.

• Advocate for Breg's culture and demonstrate accountability through the See it, Own it, Solve it, and Do it framework.

⛳️ Requirements

• Associate degree in a healthcare-related field, completion of an approved healthcare certification or certificate program, or an equivalent combination of relevant education and hands-on experience in orthotics, athletic training, sports medicine, durable medical equipment (DME), or patient care is required.

• Relevant certification or licensure such as American Board Certification (ABC) Certified Fitter-orthotics (CFo), Board of Certification (BOC), Athletic Training licensure, or Orthopaedic Technologist Certification is preferred.

• Familiarity with standard workflows and procedures in orthopedic clinics or physician offices is preferred.

• Knowledge of orthopedic bracing and supply products along with applicable utilization procedures is preferred.

• Proficiency in web browsing/internet searching, Microsoft Outlook, Word, Excel, PowerPoint, and Teams.

• Ability to learn new software and systems effectively.

• Strong written and verbal communication skills.

• Capability to engage with patients and deliver exceptional customer service, even in escalated situations.

🏝️ Benefits

• Medical, dental, vision, disability, and life insurance, effective the first of the month following hire.

• Paid Time Off (PTO).

• Company-paid holidays.

• Opportunities for professional advancement.

• Equal Employment Opportunity workplace that promotes diversity and inclusion.