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 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. Who You Are 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 an…

View the full posting and apply