Orthodontic Insurance AR Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Review pending and overdue orthodontic insurance claims to determine the reasons for non-receipt of payments.

• Engage with insurance carriers via phone and their websites to investigate claim and payment statuses.

• Submit and re-submit insurance claims through practice management systems, via fax, or mail as necessary.

• Investigate and resolve issues related to unpaid, underpaid, or overpaid insurance balances.

• Reconcile insurance payments and allocate them to the appropriate patient accounts.

• Adjust accounts to ensure the accuracy of patient and insurance balances.

• Address inbound patient inquiries related to insurance accounts and offer assistance when further research or clarification is required.

• Navigate practice management systems and insurance portals to gather account and claim information.

• Maintain precise and comprehensive documentation throughout the claims resolution process.

• Independently handle a substantial volume of accounts while achieving accuracy and productivity targets.

⛳️ Requirements

• Minimum of 2 years of experience in orthodontic insurance is required.

• Proven experience in researching and following up on unpaid or outstanding insurance claims.

• Strong understanding of dental or orthodontic insurance procedures, including claim submissions, payment processing, and insurance benefits.

• Proficient in navigating various systems and insurance carrier websites.

• Exceptional attention to detail and accuracy.

• Capable of investigating issues, identifying reasons for unpaid claims, and determining the appropriate next steps.

• Strong organizational and time-management abilities.

• Comfortable working autonomously in a remote setting.

• Basic technology skills and the capacity to quickly learn new systems.

• Excellent communication and customer service skills.

• Experience with orthodontic practice management software such as Dolphin, Cloud 9, Ortho2, OrthoTrac, or TOPS is preferred.

• Must be authorized to work in the United States; sponsorship is not available.

🏝️ Benefits

• Comprehensive medical, dental, and vision plans.

• Flexible paid time off (PTO).

• Employer contributions to Health Savings Accounts (HSA).

• Nine company-paid holidays.

• 401(k) matching at 3% after 90 days of employment.

• A supportive culture that offers unique growth opportunities.

• Paid parental leave.

• A two-week "ease-back" program allowing parents to return part-time at full pay.

• Company and team outings.

• Peer-to-peer recognition program.

• Discounts with vendors.