Claims Coordinator

Socket.dev; Colorado; Hybrid; USD 42,761,000 - 57,529,000; Full time

Benefits offered by this job

Medical benefits

Flexible PTO

HSA

9 holidays

401(k) match

Work from home

Parental leave

Company outings

Peer recognition

Vendor discounts

Job summary

Socket.dev is seeking a Claims Coordinator to support end-to-end orthodontic claims processing, resolve denials, and recover missing payments. You will develop broad expertise in claims operations and contribute across departments.

The role emphasizes accuracy, efficiency, and a strong patient/practice experience, with opportunities for growth and remote/hybrid work options.

Qualifications

• 2+ years navigating dental insurance plans (DPPO, PPO, DHMO)
• 2+ years processing dental/orthodontic claims
• Familiarity with dental revenue cycles
• Experience liaising with multiple insurance carriers
• Strong judgment, analytical and problem-solving skills
• Excellent written and verbal communication
• Proficiency with Microsoft Office and/or Google Docs
• Willingness to learn new software systems

Responsibilities

• Streamlined Processing: Ensure claims accuracy and timely submission
• Issue Resolution: Address denied claims promptly
• Account Integrity: Conduct audits and manage escalation cases
• Financial Recovery: Track and recover missing payments
• Technological Mastery: Use platforms like sFax, Adobe, PureCloud, and JIRA
• Professional Growth: Take ownership of your development
• Cross-Functional Collaboration: Collaborate with OrthoFi departments

Skills

Dental insurance

Orthodontic claims

Revenue cycle

Insurance carriers

Analytical skills

Communication

MS Office

Google Docs

Learning mindset

Tools

sFax

Adobe

PureCloud

JIRA

Job description

Roles based outside of our Denver office can sit in any of the following states: Colorado, Florida, Georgia, Louisiana, North Carolina, Ohio, Tennessee, and Texas. Please only apply if you can live and work full-time in one of the states listed above.

About the Role:

As a Claims Coordinator, you'll support the end-to-end claims process by submitting orthodontic claims, resolving denials, researching missing payments, and processing adjustments accurately and efficiently. Over time, you'll develop broad expertise across all areas of claims operations and become a key resource within the department.

This role is ideal for someone with experience in dental, orthodontic, or revenue cycle management who is passionate about delivering a strong experience for both patients and practices while ensuring claims are processed accurately and effectively.

What You Will Do:

• Streamlined Processing: Ensure claims accuracy and timely submission, minimizing disruptions for patients and practices.
• Issue Resolution: Address rejected or denied claims promptly, resolving challenges with finesse and professionalism.
• Account Integrity: Conduct thorough audits and manage escalation cases, safeguarding the integrity of every account.
• Financial Recovery: Track and recover missing payments efficiently, optimizing revenue streams for our practices.
• Technological Mastery: Utilize cutting-edge platforms like sFax, Adobe, PureCloud, and JIRA with proficiency, enhancing workflow efficiency and collaboration.
• Professional Growth: Take ownership of your development journey, embracing opportunities for advancement and skill enhancement.
• Cross-Functional Collaboration: Foster strong relationships across OrthoFi departments, understanding their functions and enhancing synergy for maximum impact.

What You Will Bring:

• 2+ years of hands-on experience navigating the intricate landscape of dental insurance plans, including DPPO, PPO's, and DHMO's, demonstrating your mastery of the nuances within each.
• A proven track record with over 2 years of hands-on experience processing dental/orthodontic claims, showcasing your adeptness at managing and expediting claims processes efficiently.
• In-depth knowledge and familiarity with dental revenue cycles, enabling you to optimize processes and maximize revenue streams effectively.
• Experience and fluency in liaising with multiple insurance carriers, demonstrating your ability to adapt and excel in diverse environments.
• A knack for making sound judgments and decisions, coupled with analytical prowess and problem-solving skills that set you apart from the rest.
• Exceptional communication skills, not just in writing and verbal expression, but also in active listening, ensuring clear understanding and effective collaboration.
• Proficiency with Microsoft Office and/or Google Documents, essential tools in today's digital workspace.
• A hunger for learning and a knack for swiftly mastering business-related software systems, enabling you to adapt to evolving technologies and processes seamlessly.

What’s in it for you:

• Full medical, dental, and vision benefits
• Flexible PTO
• Employer HSA contribution
• 9 Company Paid holidays
• 401(k) match, 3% after 90 days of employment
• Supportive culture with one-of-a-kind growth opportunities
• Option to work from home
• Paid Parental Leave as well as a two-week "ease-back" program that enables parents to return part-time at full pay
• Company and team outings
• Peer-to-peer recognition program
• Vendor discounts

Compensation: $17.50/hour

Please note that the compensation information that follows is a good faith estimate for Colorado-based hires only and is provided with the Colorado Equal Pay for Equal Work Act and Equal Pay Transparency Rules.

Work Authorization:

You must be authorized to work in the United States. The Company is unable to provide sponsorship for workers.