Insurance Coordinator

Orthofi; Denver (CO); Hybrid; USD 37,000 - 42,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

Hybrid in-office and work-at-home

401(k) match

Employer HSA contribution

Paid holidays and PTO

Job summary

OrthoFi, headquartered in Denver, CO, is seeking an Insurance Coordinator to verify orthodontic and dental benefits and guide practices and patients through processes. The role supports nationwide carriers and uses Salesforce, Google Workspace, and other internal tools to deliver a seamless experience.

The ideal candidate has dental insurance or claims experience, strong problem-solving skills, and comfort working in a fast-paced environment.

Qualifications

• Experience processing dental insurance claims and eligibility checks.
• Experience in a dental office setting preferred.
• Strong problem-solving and analytical skills.
• Ability to prioritize multiple tasks in a fast-paced environment.
• Excellent written and verbal communication skills.

Responsibilities

• Verify insurance benefits via phone, fax, carrier websites, and electronic platforms.
• Navigate nationwide carriers and understand carrier-specific requirements.
• Complete eligibility checks accurately, including urgent requests.
• Research and resolve complex insurance scenarios and COB.
• Maintain understanding of networks, DHMO plans, and eligibility processes.
• Support practices via Salesforce cases and practice chats.

Skills

Problem-solving

Analytical skills

Prioritization

Communication

Empathy

Multitasking

Education

High school diploma

Tools

Microsoft Office

Google Workspace

Job description

At OrthoFi, we're not just another player in the orthodontic industry - we're the driving force that helps orthodontists launch more smiles while ensuring top-tier patient care. Our tech-savvy solutions are the secret sauce that empowers orthodontic practices across the United States. With a track record of supporting over 2,000 practices, and in partnership with OrthoBanc, we've unlocked access to quality, affordable orthodontic care for a whopping 3.2 million patients and counting!

Picture this: Our cutting-edge Patient Acquisition software combined with our expert Revenue Cycle Management solutions propels practices to achieve jaw-dropping 13% year-over-year growth. Plus, when it comes to patient and insurance billing, our collection results leave competitors in the dust.

Behind our mission is a dynamic team of around 300 passionate individuals. Our headquarters is based in Denver, CO, with employees spread across several states. Join us in our quest to transform the orthodontic landscape - where innovation meets dedication, and starting more smiles are just the beginning.

Our purpose is to radically improve the way patients access and pay for quality elective care. Diversity, equity, and inclusion (DEI) ensures we can fulfill our purpose by creating a better, more equitable and inclusive workplace for our community members and healthcare experience for all.

By focusing on DEI, we are working towards our mission of "connecting more patients with quality orthodontic and dental care and helping make treatment accessible to over 1 million patients a year by 2025. Equity is core to our mission to serve patients, and DEI is embedded in our core values, especially "seek diversity," and "do what’s right."

OrthoFi is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

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

How You Impact Patients and Practices:

At OrthoFi, our Insurance Coordinators play a critical role in helping patients access quality orthodontic care. As part of a highly engaged and supportive team, you will serve as an insurance expert - partnering with patients, practices, and carriers to verify benefits accurately and efficiently.

In this role, you’ll navigate complex insurance plans, coordination of benefits, and carrier requirements while ensuring patients receive timely access to treatment. Your work directly impacts the patient experience and helps practices deliver exceptional care.

This position is ideal for someone who enjoys problem-solving, thrives in a fast-paced environment, and is energized by becoming an expert in all things insurance.

Training Schedule: During your first six weeks of employment, training will begin at 7:00 AM MST. Upon successful completion of training, regular shifts will begin between 8:00 AM and 10:00 AM MST.

What You’ll Do

• Verify orthodontic and dental insurance benefits via phone, fax, carrier websites, and electronic platforms.
• Navigate nationwide insurance carriers and understand carrier-specific requirements and nuances.
• Complete eligibility checks accurately and efficiently, including urgent and same-day patient requests.
• Research and resolve complex insurance scenarios, including coordination of benefits and multiple insurance plans.
• Maintain a strong understanding of insurance networks, DHMO plans, and eligibility processes.
• Support practices through Salesforce cases and practice chats to ensure a seamless patient experience.

Operational Excellence

• Consistently meet or exceed daily productivity and quality expectations.
• Maintain a QA score of 92% or higher.
• Balance verification methods (phone, web, and electronic tools) to maximize efficiency.
• Utilize Salesforce, Google Workspace, Microsoft Teams and other internal systems to manage work effectively.
• Demonstrate strong attention to detail and accountability in all aspects of your work.
• Develop a deep understanding of OrthoFi’s eligibility and Revenue Cycle Management processes.
• Become a trusted resource on carrier guidelines, practice nuances, and insurance best practices.
• Partner with leadership through regular 1:1s to support ongoing development and career growth.
• Serve as a mentor and resource for newer team members as they onboard and build proficiency.
• Demonstrate a willingness to take on additional responsibilities and contribute to continuous improvement initiatives.

What You’ll Bring

• Experience processing dental insurance claims, eligibility checks, or insurance verification (orthodontic experience preferred).
• Previous experience in a dental office setting, including roles such as Front Desk Receptionist, Treatment Coordinator, or Insurance Coordinator, is highly desirable.
• Exceptional problem-solving and analytical skills.
• Ability to effectively prioritize and manage multiple tasks in a fast-paced environment.
• Excellent written, verbal, and active listening skills.
• Proficiency with Microsoft Office, Google Workspace, and business software applications.
• Strong technical aptitude and ability to quickly learn new systems and processes.
• Demonstrated accountability, adaptability, and a sense of urgency.
• Empathy and compassion when supporting patients and practices.
• High school diploma required; some college coursework is preferred.

Physical Requirements and Work Environment:

• This is a largely sedentary role and sitting will be required for long periods of time.
• Standing, lifting, reaching, bending, stooping will be frequently required.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the job functions.

What’s in it for you:

• Full medical, dental, and vision plans
• 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
• Hybrid in-office and work at home (2 days in-office Tuesdays and Thursdays)
• 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

Compensation: $18/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.