Supervisor Order Entry Authorization

Supervisor Order Entry Authorization

Carlsbad, CA

Overview

Join Breg and help advance orthopedic solutions that improve patients lives and support healthcare professionals. Breg is a leader in the orthopedic industry, providing innovative products, consulting, technology, and services that empower people to move forward with confidence.

Who You Are

You are a forward?thinking professional who values collaboration, innovation, and making a meaningful difference. You bring strong written and verbal communication skills and are eager to contribute to a team dedicated to exceptional patient outcomes.

What Youll Do

• Supervise and oversee all aspects of Bregs vendor engagements responsible for order entry and coding, ensuring orders are entered accurately, patient eligibility verified, prior authorizations obtained, and claims submitted correctly to payors, driving timely and accurate reimbursement and KPI achievement.
• Analyze reports to prioritize claim finalization and determine appropriate actions to achieve key results.
• Act as an individual contributor when needed and provide coverage for coding (on / offshore), assisting the Order Entry team and authorization teams with claim volume processing.
• Serve as the subject matter expert and escalation resource for order entry and coding.
• Partner with Revenue Cycle Management leaders, Field Operations, HIMS, Quality, Payor Contracts, and other leaders to develop and implement strategies to reduce pending claims (first?time finalization) and expedite accurate claim submission to secure reimbursement without additional intervention (first?time realization).
• Collaborate with the Manager and other leaders to recommend process improvements and contribute to new procedures and work instructions.
• Communicate strategies, plans, performance outcomes, and business conditions in written and oral form to ensure understanding of the current state of claims processing and opportunities for improvement.
• Monitor audit reports for quality and process adherence, communicating identified areas requiring additional training or documented business processes / work instructions.
• Lead staff selection, development, performance management, and continuous recalibration of staff, ensuring appropriate staffing levels and resource allocation and performing administrative tasks associated with timekeeping, pay, performance, policy administration, and other employment matters.
• Assess staff and provide timely and consistent feedback regarding technical proficiency and effectiveness, supporting constructive feedback, guidance, and reinforced employee training to meet job performance, and working with staff to identify work goals and create individual development plans.
• Partner with Breg Training Personnel on new and / or revised processes, policies, procedures and training documents specific to order entry and authorization.
• Support vendor training of new and existing teammates to increase order entry and authorization efficiency and overall company profitability.
• Perform duties in compliance with applicable HIPAA, FDA, CMS, ACHC, and other appropriate state and federal regulations.
• Act professionally in internal and external relationships that positively impact Bregs reputation and comply with company policies and practices, demonstrating Bregs cultural beliefs and achieving key company results.
• Promote Bregs culture within the organization using established tools such as storytelling, focused feedback, and recognition, aligning the position with commitment and accountability following the steps of : See It, Own It, Solve It, Do It.

What You Bring

Why Breg?

Compensation

Salary Range : $58,800.00 $78,600.00. 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 U.S. 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 youre 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 workforce and a 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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