Claims Coordinator at OrthoFi

, , United States -

Full Time

Start Date

Immediate

Expiry Date

25 Aug, 26

Salary

17.5

Posted On

27 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Claims Processing, Dental Insurance Knowledge, Revenue Cycle Management, Issue Resolution, Account Auditing, Financial Recovery, sFax, Adobe, PureCloud, JIRA, Microsoft Office, Google Documents, Analytical Problem Solving, Professional Communication, Active Listening, Insurance Liaison

Industry

IT Services and IT Consulting

Description

About the Role: 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. 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. What You Will Bring: 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. What’s in it for you: 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 or in the office or Hybrid in-office and work at home (2 days in-office Tuesdays and Thursdays) 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.

Responsibilities

The Claims Coordinator manages the end-to-end claims process, including submission, denial resolution, and payment recovery. They are responsible for maintaining account integrity through audits and collaborating across departments to optimize revenue streams.