Payor Portal Administrator bei Breg, Inc.

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 Payor Portal Administrator to join our team in Carlsbad, 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 demonstrating ownership and accountability, the ability to communicate effectively and are eager to contribute to a team that is committed to delivering exceptional patient outcomes.

What You’ll Do

As a Payor Portal Administrator you will:

• Completes applications for new user access both online and via paper forms, to health plan portals.
• Creates, modifies, and disables user accounts as needed, including resolving system issues, resetting passwords and sending reminders for users pending access termination due to non-usage.
• Works with sensitive and confidential material that represent an immediate and possibly long-standing financial impact on the company.
• Maintains accurate records of payor web-portal enrollments and portal access in databases and shared drives.
• Provides clear and concise instructions, support and training to end users and other stakeholders regarding portal access and functionality.
• Serves as the point of contact for payors via phone or email to resolve web-portal access issues.
• Manages workload to process Payor Portal Request tickets quickly and efficiently.
• Generates reports on access and enrollment status and shares information/data analytics with leadership.
• Performs other duties as assigned.
• Responsible for maintaining professionalism in all internal and external interactions, fostering positive relationships that enhance the company's reputation while adhering to established 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 fostering Breg's organizational culture through storytelling, targeted feedback, and recognition. This role is dedicated to reinforcing a culture of commitment and accountability, following the principles of: See it, Own it, Solve it, and Do it.
• Collaborates with cross-functional teams to drive excellence in patient care and business solutions

What You Bring

• A bachelor’s degree is required.
• A minimum of 2+ years’ experience with payor portals, electronic data interchange (EDI), and other relevant systems is required.
• Knowledge of Availity, Noridian, UHC, and other payor platforms is preferred.
• Experience in credentialing and contracting is required.
• Solid understanding of government, Workers Compensation, and commercial payor requirements is required.
• Ability to troubleshoot access issues and resolve portal-related problems is required.
• Ability to manage multiple tasks, maintain accurate records, and meet deadlines.
• Knowledge of Current Procedural Terminology (CPT), International Classification of Diseases, 10^th Revision, Clinical Modification (ICD-10-CM), and Healthcare Common Procedure Coding System (HCPCS) coding and insurance billing rules are required.
• Computer proficient to include web browser/internet search, Microsoft (MS) Outlook, Word, Excel, Teams, and Power Point capabilities. Technical competence includes the ability to learn new software and systems.
• Excellent project management and collaboration skills are required.

• A passion for innovation and a commitment to Breg’s mission to Keep Moving Forward.

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 https://www.breg.com/benefits

Compensation

Salary Range: $67,000.00 - $84,100.00. 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 a bonus.

Ready to Move Forward?

If you’re ready to be part of a company that is redefining orthopedic care, apply today at www.breg.com/careers.

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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