Orthodontic Insurance AR Specialist

Summary

OrthoFi provides technology-enabled patient acquisition and revenue cycle management solutions for orthodontic practices across the United States. The Orthodontic Insurance AR Specialist will resolve outstanding insurance balances, research unpaid claims, coordinate with insurance carriers, reconcile payments, and maintain accurate patient and insurance accounts.

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

Skills

• 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
• Basic technology proficiency and the ability to learn new systems quickly
• Strong communication and customer service skills
• You must be authorized to work in the United States
• The Company is unable to provide sponsorship for workers
• Experience working with orthodontic practice management software such as Dolphin, Cloud 9, Ortho2, OrthoTrac, or TOPS preferred

Qualifications

Must Haves

• 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
• Basic technology proficiency and the ability to learn new systems quickly
• Strong communication and customer service skills
• You 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

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