Patient Access Representative

Roles based outside of our Denver office can sit in any of the following 36 states AL, AZ, AR, CA, CO, FL, GA, IL, IN, IA, KS, KY, LA, MA, MD, MI, MN, MO, MS, NE, NC, NJ, NV, NM, NY, OH, OK, PA, SC, TN, TX, UT, VA, WA, WV, and WI. Please only apply if you are able to live and work full-time in one of the states listed above.

**Please note that for the first 6 weeks of employment, there will be training with a start time of 7:00 am MST. Post training, shift times can start anywhere between 8-10 am MST each day.**

How you impact patients and practices:

As a Patient Access Representative, you will be a part of a highly engaged and supportive team who is impacting a patient’s ability to receive the highest quality orthodontic care. You will be an Insurance Detective in a fast-paced, dynamic environment.

Within 1-2 Months You Will

• Go through OrthoFi Training and get to know the company from a high level view.
• Attend eligibility training to get to know what you’ll be doing on a day to day basis with a goal of learning 1-5 new carriers per week along with phone procedures and carrier portals.
• Get to know our internal system as well as tools like GSuite, Slack, Salesforce, and InContact.
• Know your expectations of the Patient Access Representative role.
• Have your work Quality Controlled (QC) to ensure you are learning the system properly and update as necessary.
• Express a desire to learn and take accountability for your work.
• Start your bi-weekly 1:1s with your lead to go over expectations of the role as well as review progress.
• Have a great team of experienced coordinators to help you answer your questions!

Within 3-4 Months You Will

• Master nationwide carrier knowledge and how their eligibility works.
• Continue to review and update any QCs.
• Understand coordination of insurance in instances with multiple plans.
• Full understanding of the insurance network landscape and ability to effectively navigate that network to assist our patients and practices.
• Have a great foundation of how to multitask between phone calls and carrier portals.
• Continue to have a great team of experienced coordinators to help you answer your questions!

Within 4-6 Months You Will

• Be an eligibility expert taking on patients who are in the office and need insurance verified quickly and accurately.
• Maintain a high QA score of 92% or greater as well as exceeding daily output expectations as set by the team.
• Independently able to verify insurance using all available approaches.
• Complete work on Salesforce cases and assistance with any practice chat as needed.
• Be another great resource for newer coordinators who are in the beginning stages of learning the role.

Skill Set:

• Experience with processing dental insurance claims and/or eligibility checks (orthodontic or dental claims management preferred) is a plus.
• Prior experience managing claims while working as a Front Desk Receptionist or Treatment Coordinator is a plus.
• Demonstrated ability to multi-task and solve poorly defined problems.
• Strong analytical and problem solving skills.
• Excellent communication skills - written, verbal and active listening.
• Proficient with Microsoft Office and/or Google Documents.
• Have the ability to learn and utilize business related software systems.
• Must exhibit empathy and compassion for patients.
• Ability to self manage and adapt to change quickly, as well as show a sense of urgency.
• Strong judgment and decision making abilities.
• Natural curiosity with a strong aptitude to learn quickly.
• Very strong technical aptitude.
• Desire to want to take on responsibility and learn new areas of the OrthoFi system.
• Have accountability for their own work.
• High school Diploma required, some college experience a plus.

Physical Requirements and Work Environment

• This is a largely sedentary role and sitting will be required for long periods of time
• Standing, lifting, reaching, bending, stooping will be frequently required
• Reasonable accommodations may be made to enable individuals with disabilities to perform the job functions

What’s in it for you...

• Full medical, dental, and vision benefits with 100% employer paid options
• 401(k) match
• Supportive culture with one-of-a-kind growth and development opportunities
• Option to work from home or in the office
• Employer HSA contribution
• Paid Parental Leave
• Company and team outings
• 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 pursuant to 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

OrthoFi is an innovative, tech-enabled solution that helps Orthodontists start more patients and give them more time to provide great quality care. With the recent acquisition of OrthoBanc, OrthoFi is now the US orthodontic industry leader in practice financial management, working with over 2,000 practices in the US. Collectively with OrthoBanc, OrthoFi has helped over 3.2 million patients access quality, affordable Orthodontic care. Our combination of cutting-edge Patient Acquisition software and robust Revenue Cycle Management solutions helps practices grow by over 13% YOY and manages patient and insurance billing and collections with exceptional collection results that exceed industry standards. The company has about 300 employees, with offices in Denver CO and Chattanooga TN.

In the OrthoFi community, members are valued for who they are, supported no matter where they are, and motivated to excel personally and professionally. People who join our community are self-starters and love a challenge! We’re looking for passion-driven, dynamic individuals that are excited about a fast-paced and fun environment. Our team enjoys the opportunity to impact people’s lives and help to create more smiles every day.

We pride ourselves in our culture as a people-first organization, demonstrated through recent achievements of being ranked in Built in Colorado’s list of Top 100 Digital Companies in Colorado. We were also recognized by the Denver Business Journal as one of Denver’s fastest growing companies and ranked on the Inc 5000 list of fastest growing private companies in the US multiple years in a row!

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 opportunity 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

Expected hours: 40 per week

Benefits:

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

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: Remote