Claims Specialist

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About OrthoFi

OrthoFi is a Denver-based startup that focuses on building software and service solutions designed to stimulate growth and streamline financial processes for orthodontic practices through rigorous analytics and cutting edge technology. We pride ourselves in our culture as a people-first organization, demonstrated through recent achievements of being ranked in Built in Colorado’s list of Top 100 Digital Companies in Colorado. We were also recognized by the Denver Business Journal as one of Denver’s fastest growing companies and ranked 164th on the Inc 5000 list of fastest growing private companies in the US!

 

In the OrthoFi community, members are valued for who they are, supported no matter where they are, and motivated to excel personally and professionally. People who join our community are self-starters and love a challenge! We’re looking for passion-driven, dynamic individuals that are excited about a fast-paced and fun environment. Our team enjoys the opportunity to impact people’s lives and help to create more smiles every day.

 

About the Role

Working insurance for pre-OrthoFi patients out of the practice management software on behalf of the practice. The objective is to collect the maximum amount of benefits owed from carriers for the open claims filed by the practice prior to their partnership with OrthoFi.

 

Responsibilities

Responsibilities include but are not limited to the following:

 

  • Reviewing past due insurance claims and doing extensive follow-up as to why carriers might not have paid
  • Submitting claims to carriers through PMSW or fax / mail
  • Allocating payments in OrthoFi reconciliation report to the correct patient’s account in PMSW
  • Calling carriers and / or navigating carrier website to verify payment status
  • Adjusting unpaid and / or overpaid insurance balances 

 

Desired Skills and Experience

  • Orthodontic insurance background
  • System navigation experience
  • Quick learner
  • Detail oriented
  • Basic technology literacy 

 

Compensation: $16.50-$18.00/hour

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Location

Fun fact! Our building used to be a manufacturing facility for Ford Model T cars. We're conveniently located at I25 and Broadway.

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