Dental Claims Coordinator

Roles based outside of our Denver office can sit in any of the following states: Colorado, Florida, Georgia, Louisiana, North Carolina, Ohio, Tennessee, and Texas. Please only apply if you can live and work full-time in one of the states listed above.

The start date for this role is May 6th. The training schedule will run from 8:00 AM to 4:30 PM MT for 12 weeks.

Are you ready to utilize your expertise in the dental, orthodontic, or revenue cycle industry to revolutionize the way patients and practices experience claims processing? As a Claims Coordinator with us, you'll be at the forefront of ensuring accuracy, efficiency, and superior service for our valued patients and practices.

Your Mission:

As a vital member of our team, you'll dive into the world of claim submissions, tackling denials, locating missing payments, and executing adjustments with finesse. Your role will evolve as you become a Full Stack Claims expert, mastering every aspect of claims processing within our dynamic department.

Your Journey:

Within 1 Month: Get acquainted with our company culture and ethos through specialized OrthoFi training. Dive into the intricacies of claims processing with dedicated training sessions, while also familiarizing yourself with our internal systems and essential tools like GSuite, Slack, and Jira.

Within 2 Months: Collaborate closely with other departments to gain a holistic understanding of your role. Engage with quality assurance processes to track your progress and refine your skills. Forge strong relationships with the practices we serve, ensuring seamless communication and support through platforms like Jira and Slack.

Within 3 Months: Congratulations, you're now a Claims expert! Maintain stellar quality assurance scores and exceed daily output expectations. Bring your insights and achievements to the table in weekly meetings, contributing to continuous improvement across departments. Serve as a guiding light for newcomers, sharing your wisdom and expertise to support their growth.

How You'll Make a Difference:

• Streamlined Processing: Ensure claims accuracy and timely submission, minimizing disruptions for patients and practices.
• Issue Resolution: Address rejected or denied claims promptly, resolving challenges with finesse and professionalism.
• Account Integrity: Conduct thorough audits and manage escalation cases, safeguarding the integrity of every account.
• Financial Recovery: Track and recover missing payments efficiently, optimizing revenue streams for our practices.
• Technological Mastery: Utilize cutting-edge platforms like sFax, Adobe, PureCloud, and JIRA with proficiency, enhancing workflow efficiency and collaboration.
• Professional Growth: Take ownership of your development journey, embracing opportunities for advancement and skill enhancement.
• Cross-Functional Collaboration: Foster strong relationships across OrthoFi departments, understanding their functions and enhancing synergy for maximum impact.

Ready to embark on a rewarding journey where your expertise transforms patient care and practice operations? Join us as a Claims Coordinator and be part of a team that's reshaping the future of dental and orthodontic care. Apply now and let's make a difference together!

What You Will Bring:

• 2+ years of hands-on experience navigating the intricate landscape of dental insurance plans, including DPPO, PPO's, and DHMO's, demonstrating your mastery of the nuances within each.
• A proven track record with over 2 years of hands-on experience processing dental/orthodontic claims, showcasing your adeptness at managing and expediting claims processes efficiently.
• In-depth knowledge and familiarity with dental revenue cycles, enabling you to optimize processes and maximize revenue streams effectively.
• Experience and fluency in liaising with multiple insurance carriers, demonstrating your ability to adapt and excel in diverse environments.
• A knack for making sound judgments and decisions, coupled with analytical prowess and problem-solving skills that set you apart from the rest.
• Exceptional communication skills, not just in writing and verbal expression, but also in active listening, ensuring clear understanding and effective collaboration.
• Proficiency with Microsoft Office and/or Google Documents, essential tools in today's digital workspace.
• A hunger for learning and a knack for swiftly mastering business-related software systems, enabling you to adapt to evolving technologies and processes seamlessly.

What’s in it for you...

• Full medical, dental, and vision benefits with 100% employer paid options and buy up plans
• Flexible PTO
• Employer HSA contribution
• 9 Company Paid holidays
• 401(k) match, 2% after 90 days of employment
• Supportive culture with one-of-a-kind growth opportunities
• Option to work from home or in the office
• Paid Parental Leave
• Peer-to-peer recognition program
• Company sponsored premium subscription to the Calm app
• Vendor discounts

Compensation: $17.50/hour

**Please note that the above compensation information is a good faith estimate for Colorado-based hires only and is provided under the Colorado Equal Pay for Equal Work Act and Equal Pay Transparency Rules.**

Work Authorization: You must be authorized to work for any employer in the US.

Who We Are

At OrthoFi, we're not just another player in the orthodontic industry – we're the driving force that helps orthodontists launch more smiles while ensuring top-tier patient care. Our tech-savvy solutions are the secret sauce that empowers orthodontic practices across the United States. With a track record of supporting over 2,000 practices, and in partnership with OrthoBanc, we've unlocked access to quality, affordable orthodontic care for a whopping 3.2 million patients and counting!

Picture this: Our cutting-edge Patient Acquisition software combined with our expert Revenue Cycle Management solutions propels practices to achieve jaw-dropping 13% year-over-year growth. Plus, when it comes to patient and insurance billing, our collection results leave competitors in the dust.

Behind our mission is a dynamic team of around 400 passionate individuals, spread across vibrant offices in Denver, CO, and Chattanooga, TN. Join us in our quest to transform the orthodontic landscape – where innovation meets dedication, and starting more smiles are just the beginning.

Our purpose is to radically improve the way patients access and pay for quality elective care. Diversity, equity, and inclusion (DEI) ensures we can fulfill our purpose by creating a better, more equitable and inclusive workplace for our community members and healthcare experience for all.

By focusing on DEI, we are working towards our mission of connecting more patients with quality orthodontic and dental care and helping make treatment accessible to over 1 million patients a year by 2025. Equity is core to our mission to serve patients, and DEI is embedded in our core values, especially “seek diversity,” and “do what’s right.”"

OrthoFi is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

Job Type: Full-time

Pay: $17.50 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Remote

Application Question(s):

• Are you able to reside and work full-time in one of the following states: Colorado, Florida, Georgia, Louisiana, North Carolina, Ohio, Tennessee, or Texas?

Experience:

• Dental/Ortho Claims: 2 years (Preferred)

Work Location: Remote