Orthodontic Insurance AR Specialist

Who We Are

At OrthoFi, we're not just another player in the orthodontic industry – we're the driving force that helps orthodontists launch more smiles while ensuring top-tier patient care. Our tech-savvy solutions are the secret sauce that empowers orthodontic practices across the United States. With a track record of supporting over 2,000 practices, and in partnership with OrthoBanc, we've unlocked access to quality, affordable orthodontic care for a whopping 3.2 million patients and counting!

Picture this: Our cutting-edge Patient Acquisition software combined with our expert Revenue Cycle Management solutions propels practices to achieve jaw-dropping 13% year-over-year growth. Plus, when it comes to patient and insurance billing, our collection results leave competitors in the dust.

Behind our mission is a dynamic team of around 300 passionate individuals. Our headquarters is based in Denver, CO, with employees spread across several states. Join us in our quest to transform the orthodontic landscape – where innovation meets dedication, and starting more smiles are just the beginning.

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 opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

About the Opportunity:

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. The preferred hours are Monday - Friday, 9 am - 5:30 pm ET.

What You’ll Do:

• 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.

What You’ll Bring:

• 2+ years of orthodontic insurance experience required.
• Experience working with orthodontic practice management software such as Dolphin, Cloud 9, Ortho2, OrthoTrac, or TOPS preferred.
• 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.

What’s in it for you:

• 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

Compensation: $19.50/hourly

**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.