Claims Coordinator
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Job Description
Claims Coordinator supporting end-to-end claims processing at OrthoFi. Ensuring accuracy in claims submissions while collaborating across departments for optimal patient and practice outcomes.
Responsibilities:
- 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.
Requirements:
- 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
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