Company Description

OrthoFi is a Denver based startup that is revolutionizing the orthodontic industry with software solutions that give doctors the capability to start more patients per year and to offload time consuming front-office processes.  Our patent pending solution puts patients in control of their payment plans and makes costly treatments affordable to almost everyone.  We also automate many of the orthodontic business processes to help orthodontists save time and money.  Founded by a dynamic combination of medical professionals, Wall Street veterans, and Fortune 500 executives, OrthoFi is revenue positive and poised to experience hyper-growth over the next five years.

Job Description

OrthoFi is building a world-class team that is committed to “wow-ing” customers at every opportunity. We are looking for an Insurance Claims Lead who is excited to join a fast-paced startup. Candidate must be self-motivated, a self-starter, and love a challenge.  The Claims Lead will support Insurance Coordinators as they perform claims processing services to multiple orthodontic offices located across the United Status.   Responsibilities included but are not limited to the following:

Primary responsibilities:

• Collaborate with cross functional team on continuous improvement projects related to processes and/or product improvements

• Support patient/practice advocate groups when questions arise

• Follow-up on notes from the practice

• Attend management meetings and provide progress updates for the team

• Responsible for team updates to ADP Time Tracker and PTO scheduling

• Coach and mentor team members to success monthly and as needed to address production or quality concerns

• Provide daily production information to the team

• Assist in developing appropriate capacity models monthly

Secondary responsibilities:

• File claims with various carriers and follow up on unpaid claims

• Adjust payment plans for insurance underpayments or overpayments

• Manage communications with practice staff

• Communicate with various insurance carriers

• Review carrier requests

• Process any carrier refund requests

Desired Skills and Experience

• Bachelor's Degree or equivalent work experience

• Demonstrated ability to multi-task and solve poorly defined problems

• Insurance specific experience

• Strong analytical and problem solving skills

• Excellent communication skills - written, verbal and active listening

• Proficient with Microsoft Office and/or Google Documents

• Have the ability to learn and utilize business related software systems

• Must exhibit empathy and compassion

• Ability to adapt to change quickly as well as show a sense of urgency

• Strong judgment and decision making abilities

• Natural curiosity with a strong aptitude to learn quickly

• Very strong technical aptitude

• Experience with processing medical insurance claims  (orthodontic or dental claims management preferred) is a plus

• Prior experience managing claims while working as a Treatment Coordinator is a plus

• Desire to coach team members to service excellence

• Work with manager and other leads to develop continuation training for the Claims Team and the operation teams as needed

This position will include a competitive salary and a great benefits package.

If you meet these requirements and are truly excited about helping to start an amazing company, you can send your resume to [email protected] (in PDF format only) and describe why you feel you would be a good fit at OrthoFi.

Job Location

Denver, Colorado, United States

Position Type

Full-Time/Regular