Claims Representative

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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 orthodontist 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 and recognized on Inc. 5000’s Best Places to Work. 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. 


How you impact patients and practices:

As a Claims Representative, you will be a part of a highly engaged and supportive team who is impacting a patient’s ability to receive the highest quality orthodontic care. You will be an Insurance Detective in a fast-paced, dynamic environment.

  • Coordinating insurance benefits when multiple plans exist
  • Managing communications with practice staff
  • Obtaining pre-authorizations
  • Verifying dental billing codes, document narratives and submit claims
  • Following up on denied claims and/or in cases when expected payments are outstanding
  • Posting insurance payments
  • Processing payment plan adjustments
  • Supporting patient collections

Our Ideal Candidate:

  • High School Diploma required
  • Demonstrated ability to multi-task and solve poorly defined problems
  • Proficient with Microsoft Office and/or Google Documents
  • Excellent communication skills - written, verbal and active listening
  • Must exhibit empathy and compassion for patients.
  • Ability to adapt to change quickly, and 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 and/or eligibility checks (orthodontic or dental claims management preferred) is a plus
  • Prior experience managing claims while working as a Front Desk Receptionist or Treatment Coordinator is a plus

Perks

  • PTO
  • Company breakfast once a month
  • Team building activities once a month
  • Company and team monthly outings
  • Meditation sessions
  • Reward Recognition
  • Casual Dress Atmosphere
  • Snacks on-site


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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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