Orthodontic Insurance AR Specialist

OrthoFi

8d • Remote

About The Position

As an Orthodontic Insurance AR Specialist, you will focus on resolving outstanding insurance balances and maximizing reimbursement for orthodontic practices. You’ll research unpaid and past-due claims, work directly with insurance carriers, reconcile payments, and make account adjustments to ensure claims are accurately resolved. This role is ideal for someone with hands-on orthodontic insurance experience who is comfortable navigating insurance carrier websites, following up on unpaid claims, and working through complex account issues with a high level of attention to detail.

Requirements

• 2+ years of orthodontic insurance experience required.
• Experience researching and following up on unpaid or outstanding insurance claims.
• Strong understanding of dental or orthodontic insurance processes, including claim submission, payment processing, and insurance benefits.
• Comfortable navigating multiple systems and insurance carrier websites.
• Strong attention to detail and accuracy.
• Ability to research problems, identify the reason for an unpaid claim, and determine the appropriate next step.
• Strong organizational and time-management skills.
• Comfortable working independently in a remote environment.
• Basic technology proficiency and the ability to learn new systems quickly.
• Strong communication and customer service skills.
• Must be authorized to work in the United States. The Company is unable to provide sponsorship for workers.

Nice To Haves

• Experience working with orthodontic practice management software such as Dolphin, Cloud 9, Ortho2, OrthoTrac, or TOPS preferred.

Responsibilities

• Review outstanding and past-due orthodontic insurance claims to identify why payments have not been received.
• Follow up with insurance carriers by phone and through carrier websites to research claim and payment status.
• Submit and resubmit insurance claims through practice management systems, fax, or mail as needed.
• Research and resolve unpaid, underpaid, and overpaid insurance balances.
• Reconcile insurance payments and apply payments to the appropriate patient accounts.
• Make account adjustments to ensure patient and insurance balances are accurate.
• Respond to inbound patient calls related to insurance accounts and provide support when additional research or clarification is needed.
• Navigate practice management systems and insurance portals to research account and claim information.
• Maintain accurate and detailed documentation throughout the claims resolution process.
• Work independently to manage a high volume of accounts while meeting accuracy and productivity expectations.

Benefits

• Full medical, dental, and vision plans
• 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
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed