Claims Team Lead - Orthodontics

About the Role
As a Claims Team Lead you will have the opportunity to lead a team of orthodontic claims specialists tasked with managing insurance claims for several Orthodontic practices. You will report to the Operations Managers and directly supervise a team of different skill levels including Coordinator 1, Coordinator 2, Senior Coordinator levels. Your primary objective will be to build a high performing team that are effective at submitting insurance claims, managing denials and following up on claims that fail to pay as expected. In doing so you will play a critical role in ensuring that OrthoFi delivers best in class RCM services and allows practices to focus on delivering quality orthodontic care.
Responsibilities

• Supervise 7-12 direct reports responsible for submitting claims, managing denials, and following up on claims to ensure payments are collected in a timely manner
• Collaborate with Claim Account Leads and prioritize tasks to address top customer needs
• Actively participate in tactical planning meetings to plan out team work assignments
• Monitor team's service level performance and report on progress
• Review teams quality scores and provide support needed to meet/exceed QA Goals
• Provide coaching/development to the frontline Insurance team members, coaching the team to meet/exceed performance expectations and conducting bi-weekly 1:1's
• Challenge team members and provide support needed to improve performance
• Provide coaching / mentoring to support development of upcoming leaders
• Manage and approve Time cards and PTO Requests for direct reports
• Partner with the performance management team as needed to team training needs
• Lead team building activities that embrace OrthoFi's core values
• Participate in the hiring process

Desired Skills and Experience

• Bachelor's degree or equivalent experience
• Subject matter expert working claims or eligibility checks within the OrthoFi system or 5+ years managing claims processing within the dental or orthodontic industry
• Strong leadership skills
• Excellent written and verbal communication
• Proficient with Google Sheets or MS Excel
• Ability to use data to identify trends and report progress against department OKR's
• Demonstrated track record of exceeding performance expectations and mentorship of fellow team members
• Prior experience in a supervisory role is a plus
• Ability to adapt and change quickly

What's in it for you...

• Full medical, dental, and vision benefits with 100% employer paid options
• 401(k) match
• Supportive culture with one-of-a-kind growth and development opportunities
• Option to work from home or in the office
• Employer HSA contribution
• Paid Parental Leave
• Company and team outings
• Peer-to-peer recognition program
• Company sponsored premium subscription to the Calm app
• Vendor discounts

Compensation: $45,000-$47,500 annually
** Please note that the compensation information that follows is a good faith estimate for Colorado-based hires only and is provided pursuant to the Colorado Equal Pay for Equal Work Act and Equal Pay Transparency Rules.**
Work Authorization: You must be authorized to work for any employer in the US.
Who We Are
OrthoFi is an innovative, tech-enabled solution that helps Orthodontists start more patients and give them more time to provide great quality care. With the recent acquisition of OrthoBanc, OrthoFi is now the US orthodontic industry leader in practice financial management, working with over 2,000 practices in the US. Collectively with OrthoBanc, OrthoFi has helped over 3.2 million patients access quality, affordable Orthodontic care. Our combination of cutting-edge Patient Acquisition software and robust Revenue Cycle Management solutions helps practices grow by over 13% YOY and manages patient and insurance billing and collections with exceptional collection results that exceed industry standards. The company has about 300 employees, with offices in Denver CO and Chattanooga TN.
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.
We pride ourselves in our culture as a people-first organization, demonstrated through recent achievements of being ranked in Built in Colorado's list of Top 100 Digital Companies in Colorado. We were also recognized by the Denver Business Journal as one of Denver's fastest growing companies and ranked on the Inc 5000 list of fastest growing private companies in the US multiple years in a row!
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 opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.