Jobs · OTHR

Claims Coordinator

OrthoFi · United States · 1 mo ago
RemoteRemoteOTHR$17.5/hrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities (What You Will Do), Requirements/Qualifications (What You Will Bring), Benefits (What's in it for you), Pay (Compensation). Possibly Schedule not present. Also include maybe a short paragraph for metadata like location? The instruction: do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short

or drop it. There's no job ID. There's location info: "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." That's metadata; we can put in a

. Also "Work Authorization: You must be authorized to work in the United States. The Company is unable to provide sponsorship for workers." Also metadata. We'll include a short paragraph after the heading maybe before sections? The page already shows job title; we shouldn't repeat it. We'll output sections only when there is real content. We need to use

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can combine Requirements and Qualifications maybe? The posting has "What You Will Bring" which includes experience, knowledge, etc. That's qualifications. We'll make a section

Qualifications

with list. Also "What You Will Do" => Responsibilities. "What's in it for you" => Benefits. "Compensation" => Pay. We also might include a short paragraph for location and work auth. We must not include boilerplate like EEO etc. We removed that. We must not include application instructions. We must preserve all substantive info. Let's extract content: About the role paragraph: "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." Responsibilities list items: - 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. Qualifications list items (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. Benefits list (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 Pay: 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.** We should include that note as part of Pay section maybe as a

after the amount. Schedule: not present, so omit. We also need a short paragraph for location and work auth maybe as a

before sections or after About the role? The instruction: fold minor metadata into a short

or drop it. We'll include a

after the About the role heading maybe? Actually About the role is a heading; we can have a

after it? The About the role section should contain the paragraph about role. Then we can have a separate

for location and work auth before sections? But we must not create extra headings. We'll just put a

after the About the role section? Actually the About the role section already has the paragraph describing role. Then we can add another

for location and work auth after that but before Responsibilities? Might be okay. But we need to ensure we don't create extra heading. We'll just put a

after the About the role content (still within same section? Actually sections are defined by headings; content under a heading can include multiple

and

    . So we can put the About the role heading, then the role description paragraph, then a

    for location and work auth, then Responsibilities heading, etc. Thus structure:

    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.

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

    Responsibilities

      ...

    Qualifications

      ...

    Benefits

      ...

    Pay

    $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.

    We must not include any extra sections like Schedule. Check that we didn't repeat job title. Good. Now ensure we preserve all substantive info: The "About Us" paragraph at start is not needed? It's part of "Who We Are". That's not a section heading we need to output because we only output sections when posting has real specific content for it. The "Who We Are" is descriptive about company; not requested as a section. Should we include it? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." The "Who We Are" is substantive info about company. But we are only to output sections like About the role, Responsibilities, etc. However we could include a

    before sections to capture that info. The instruction says "use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It doesn't forbid other

    content outside those headings. It says "Output ONLY the HTML fragment — no /, no markdown code fences." So we can include a

    for the "Who We Are" before the headings. That would preserve info. However the instruction also says "include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text". It doesn't forbid having

    outside sections. So we can add a

    for the company overview. Thus we will output:

    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.”

    But note that the last part includes EEO statement? Actually the "Who We Are" includes DEI content but not the EEO boilerplate. The later EEO statement is separate: "OrthoFi is proud to be an equal opportunity workplace and is an affirmative action employer..." We should remove that as boilerplate. So we need to strip that EEO paragraph. The "Who We Are" ends before that line? The text: after "do what’s right." then a space then "OrthoFi is proud to be an equal opportunity workplace..." That's EEO boilerplate; we should remove it. Also the "Please only apply if you can live and work full-time in one of the states listed above." we already included in location paragraph. Also "Work Authorization: ..." we included. Thus final HTML fragment:

    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 Orth

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