Dental Claims Coordinator (Remote)

 

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.

How you impact patients and practices

As a Claims Coordinator you will be taking your skills, knowledge, and experience within the dental, orthodontic, or revenue cycle industry to create a superior experience for our patients and practices. You will submit claims, work denials and escalations, locate missing payments and execute contracted adjustments. This role will give you the opportunity to learn and execute as a Full Stack Claims expert for our Claims Department.

Within 1 Month You Will

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• Go through OrthoFi Training and get to know the company from a high level view.
• Attend claims training to get to know what you’ll be doing on a day to day basis.
• Get to know our internal system as well as tools like GSuite, Slack, Jira, and PureCloud.
• Learn the basic questions to ask yourself when researching a claim.
• Be provided a step up plan to increase your work efficiently and effectively.
• Have lots of questions and a great team of experienced coordinators to help you out!

Within 2 Months You Will

• Work with other departments within the claims team to better understand your job on a day to day basis.
• Interact with our QA department to understand your progress so far.
• Become more familiar with the practices you work with on a daily basis by reaching out to them directly with messages and having them reach out to you through Jira and/or slack communication.
• Met with your lead for a bi-weekly 1:1 to go over your progress.
• Have fewer questions and a great team of experienced coordinators to help you out!

Within 3 Months You Will

• Be a Claims expert!
• Maintain a high QA score as well as exceeding daily output expectations.
• Bring challenges and successes to weekly meetings with other departments.
• Have a few questions, with a great team of experienced coordinators to help you out and also answer any questions from anyone within their first 30 days!

How you impact patients and practices

Responsibilities include but are not limited to the following:

• Claim submissions processes
• Responding to claim rejections and denials
• Auditing and responding to escalation accounts
• Auditing and locating missing claim payments
• Executing contracted adjustments on accounts
• Working and resolving JIRA tickets
• Knowledge and execution of a Full Stack Claims Agent
• Owning your learning and career growth
• Knowledge of OrthoFi departments and their functions
• Knowledge and execution of OrthoFi tech systems such as sFax, Adobe, PureCloud, Slack, and JIRA

Desired Skills and Experience

• 2+ years of experience working in dental insurance plans such as DPPO, PPO’s and DHMO’s
• 2+ years of experience processing dental/orthodontic claims
• Knowledge and experience with dental revenue cycles
• Experience and knowledge working with multiple insurance carriers
• Strong judgment and decision making abilities along with 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

What’s in it for you...

• Full medical, dental, and vision benefits with 100% employer paid options
• 401(k) match
• PTO
• 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/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 experienced, tech-enabled solution that helps Orthodontists start more patients and give them more time to provide great quality care. With the acquisition of OrthoBanc in 2020, 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 the latest Patient Acquisition software and Revenue Cycle Management solutions helps practices grow by over 13% year-over-year and manages patient and insurance billing and collections with collection results that exceed industry standards. We have about 400 employees, with offices in Denver CO and Chattanooga TN.

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

Benefits:

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

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Orthodontic Claims: 2 years (Required)

Work Location: Remote

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