Claims Coordinator

OrthoFi

10h•Remote

About The Position

As a Claims Coordinator, you’ll support the end-to-end claims process by submitting claims, resolving denials, researching missing payments, and processing adjustments accurately and efficiently. Over time, you’ll develop broad expertise across all areas of claims operations and become a key resource within the department. This role is ideal for someone with experience in dental, orthodontic, or revenue cycle management who is passionate about delivering a strong experience for both patients and practices while ensuring claims are processed accurately and effectively.

Requirements

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.
Must be authorized to work in the United States. The Company is unable to provide sponsorship for workers.

Responsibilities

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

Benefits

Full medical, dental, and vision benefits
Flexible PTO
Employer HSA contribution
9 Company Paid holidays
401(k) match, 3% after 90 days of employment
Supportive culture with one-of-a-kind growth opportunities
Option to work from home
Paid Parental Leave as well as a two-week "ease-back" program that enables parents to return part-time at full pay
Company and team outings
Peer-to-peer recognition program
Vendor discounts