Patient Access Lead: Elevate Experience & Workflow

Breg; Oklahoma City (OK); On-site; USD 48,000 - 65,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

PTO and holidays

Growth and development opportunities

Diversity & Inclusion

Job summary

Breg is seeking a Patient Access Lead to oversee billing, claims processing, and patient interactions at on-site locations in Oklahoma City, Dallas, or Chapel Hill. You will drive performance metrics, resolve complex inquiries, and act as SME for Patient Access operations, ensuring compliant, efficient workflows and excellent patient service.

The role emphasizes onboarding, training, and collaboration with cross-functional teams to optimize revenue cycle and patient experience while adhering to

Qualifications

• 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 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, CPT, 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 Outlook, Word, Excel, Teams and PowerPoint capabilities; learning new software and systems.

Responsibilities

• 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 HIPAA and 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 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.

Skills

Communication skills

Data analysis

Team collaboration

Attention to detail

Education

Associate degree in an applicable field

Tools

EMR systems

MS Office Suite

Job description

Breg is seeking a Patient Access Lead to oversee billing, claims processing, and patient interactions at on-site locations in Oklahoma City, Dallas, or Chapel Hill. You will drive performance metrics, resolve complex inquiries, and act as SME for Patient Access operations, ensuring compliant, efficient workflows and excellent patient service.

The role emphasizes onboarding, training, and collaboration with cross-functional teams to optimize revenue cycle and patient experience while adhering to