Medical Billing Specialist

Overview

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 Medical Billing Specialist to join our team in Huntsville, AL. If you thrive in a dynamic environment where innovation and impact go hand in hand, this is the opportunity for you.

You are a forward-thinking professional who values collaboration, innovation, and making a meaningful difference. You bring expertise in your ability to demonstrate ownership and accountability; the ability to plan, execute, control and deliver; communicate effectively both written and verbal.

• Prepares and reviews Durable Medical Equipment, Prosthetics/Orthotics & Supplies (DMEPOS) claims for accuracy, completeness, and obtains any missing information prior to finalization of claim for submission.
• Verifies correct payor selection.
• Checks eligibility and verifies benefits for products dispensed.
• Utilizes insurance carrier portals for eligibility and claims information.
• Obtains authorization and pre-authorization as required.
• Works in conjunction with the Health Information Management (HIM) department to ensure submission of clean claims.
• Answers questions from patients, clerical staff, and insurance companies.
• Uses knowledge of standard medical terminology, basic human anatomy, and orthopedic diagnoses ICD-10 codes.
• Resubmits claims to insurance companies as necessary.
• Reviews denial trends to understand issues and corrective actions.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Assists in development and communication of SOPs for key areas to improve accuracy and understanding of processes.
• Achieves team goals while demonstrating organizational values and utilizing resources responsibly.
• Meets daily, weekly, and monthly objectives including claim processing, revenue, and achievement of scorecard expectations.
• Cross trains within the billing department to provide coverage when necessary.
• Promotes Breg’s culture of accountability by demonstrating and exemplifying Breg’s cultural beliefs.
• Supports all other medical billing and collection tasks as required.

• High School diploma or equivalent required.
• A minimum of 1+ years of recent experience in medical billing required.
• Experience with a variety of payor groups required.
• Knowledge of CPT, ICD-10, and HCPCS coding and insurance billing rules.
• Proficient in Microsoft Excel, Word, and electronic e-mail systems.
• Ability to work in a fast-paced environment while remaining calm and professional.
• Ability to maintain consistent, regular attendance and punctuality.
• Proficient in computers and relevant software application and practice management technology.
• Possession of strong problem-solving skills and sound judgement.
• Excellent organizational skills and ability to multitask.
• Exhibits high level of quality through attention to detail and monitoring of work.
• Excellent verbal and written communication skills, as well as exceptional interpersonal communication skills.

The work schedule may include variable start/end times outside of the company’s standard business hours of 8:00 a.m. to 5:00 p.m.

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

Salary Range: $21-$26 per hour. Actual compensation is determined by factors such as experience, skills, and business needs. This range reflects the minimum and maximum target range for new…