[Hiring] Claims Coordinator @OrthoFi

Role Description

As a Claims Coordinator, you’ll support the end-to-end claims process by submitting orthodontic 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.

What You Will Do

• 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.

Qualifications

• 2+ years of hands-on experience navigating the intricate landscape of dental insurance plans, including DPPO, PPO's, and DHMO's.
• A proven track record with over 2 years of hands-on experience processing dental/orthodontic claims.
• In-depth knowledge and familiarity with dental revenue cycles.
• Experience and fluency in liaising with multiple insurance carriers.
• A knack for making sound judgments and decisions, coupled with analytical prowess and problem-solving skills.
• Exceptional communication skills, not just in writing and verbal expression, but also in active listening.
• Proficiency with Microsoft Office and/or Google Documents.
• A hunger for learning and a knack for swiftly mastering business-related software systems.

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.
• Compensation: $17.50/hour.

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

Work Authorization: You must be authorized to work in the United States. The Company is unable to provide sponsorship for workers.