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 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.  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. OrthoFi was recently named one of Denver’s fastest growing companies by the Denver Business Journal and ranked in Built in Colorado’s list of 2016 Top 100 Digital Companies in Colorado.

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.

Job Description

OrthoFi is building a world class team that is committed to wowing customers at every opportunity.  We are looking for an Insurance Operations Manager that is excited to join a fast-paced startup that is on the verge of realizing hyper-growth.  The Insurance Operations Manager will report to the Vice President of Operations and will be responsible for delivering world class service to our clients by realizing the strategy for how OrthoFi partners with and supports Orthodontic staff, doctors, and patients using OrthoFi’s Insurance services.  We are looking for someone who is a passionate leader, someone who inspires others to grow and exceed! This person will be able to establish efficient processes and procedures while connecting team members to OrthoFi’s vision of being the global leader in enabling elective healthcare providers to grow their practices.

The primary responsibilities for the Insurance Operations Manager include:

• Create a cohesive team that delivers exceptional customer service based on OrthoFi’s goals and objectives

• Create a service culture that will have a positive impact on internal and external customer satisfaction metrics such as CSAT & NPS

• Responsible for the successful delivery of Orthofi’s Insurance Services to meet/exceed our SLA commitments  

• Develop frontline leadership team into effective coaches, capable of teaching both hard and soft skills

• Champion implementation and adoption of new systems, process automation, and iterations to policy/procedure within the teams

• Partner with Product Development team providing subject matter expertise and accurate requirements for service delivery improvements

• Maintain insurance policies and procedures that are in compliance with legal, contractual, and ethical best practices

• Manage and update team budgets which includes staffing and capacity models for growing teams

• Implement quality assurance and training programs to facilitate accurate benefit estimates, and maximize insurance payments with minimal delay

• Collaborate cross functionally with other department leaders to define, prioritize, and develop projects and programs

• Provide escalation support and assist in troubleshooting root cause for escalated issues

• Maintain in-depth working knowledge of Orthofi systems and processes

• Drive continuous improvement ideas to improve service delivery of the team, creates excitement, and enhances the Orthofi brand

• Assists in tool selection as related to providing an effective service

• Participate in hiring process

• Follow up and spot check the coaching of the frontline teammates, ensuring they receive weekly/bi-weekly feedback enabling the success of the individual

• Promote a team environment that challenges and rewards individual and team results

• Provide tactical oversight and leadership while also driving the strategy of the overall team

• All other duties as assigned

Desired Skills and Experience

• Bachelor’s degree or higher

• 5+ years experience in a dental insurance related business (Ortho preferred but not required)

• 5+ years experience in a program and/or project manager role

• Excellent communication skills - written, verbal and active listening

• In depth knowledge of insurance best practices

• Proficiency with benefits eligibility checks, claims submission and follow up

• Experienced with MS Office and/or Google Docs

• Ability to adapt and change quickly

• Ability to maintain professional demeanor

• Expert communicator and analytical thinker

• Prior experience within Orthodontic, Dental or Healthcare is a plus

Perks

• Nurturing and supportive culture

• Unlimited PTO

• On-site gym

• Company breakfast once a month

• Monthly team building activities

• Company and team outings

• Meditation sessions and wellness initiatives

• Peer-to-peer recognition program

• Casual dress atmosphere

• Snacks and coffee