Orthodontic Insurance AR Specialist

As an Orthodontic Insurance AR Specialist, you will take ownership of outstanding insurance accounts from investigation through resolution. You will combine strong orthodontic insurance knowledge with careful documentation, communication, and account management to keep balances accurate and maximize collections.

• Review outstanding and past-due orthodontic insurance claims to determine why payments have not been received.
• Contact insurance carriers by phone and through online portals to research claim status, payment information, and outstanding issues.
• Submit and resubmit insurance claims through practice management systems, fax, or mail when necessary.
• Investigate and resolve unpaid, underpaid, and overpaid insurance balances.
• Reconcile insurance payments and accurately apply payments to the appropriate patient accounts.
• Make account adjustments to ensure patient and insurance balances remain accurate.
• Respond to inbound patient calls regarding insurance accounts and provide clear support when additional research or clarification is required.
• Navigate practice management systems and insurance carrier websites to gather claim and account information.
• Maintain thorough and accurate documentation throughout the claims resolution process.
• Independently manage a high volume of accounts while consistently meeting productivity and accuracy expectations.

Requirements

The role requires hands-on orthodontic insurance experience, strong attention to detail, and the ability to independently investigate and resolve account issues. You should be comfortable working across multiple systems, communicating with insurance carriers and patients, and adapting quickly to new technology in a remote environment.

• 2+ years of orthodontic insurance experience required.
• Experience with orthodontic practice management platforms such as Dolphin, Cloud 9, Ortho2, OrthoTrac, or TOPS is preferred.
• Proven experience researching and following up on unpaid or outstanding insurance claims.
• Strong understanding of dental or orthodontic insurance processes, including claim submission, payment processing, and insurance benefits.
• Comfortable navigating multiple practice management systems and insurance carrier portals.
• Strong attention to detail with a high level of accuracy in account and payment information.
• Ability to investigate billing problems, identify the cause of unpaid claims, and determine appropriate next steps.
• Strong organizational and time-management skills, particularly when managing a high volume of accounts.
• Ability to work independently and remain productive in a fully remote environment.
• Basic technology proficiency and the ability to learn new systems and workflows quickly.
• Strong written and verbal communication skills with a customer-service-oriented approach.
• Ability to handle patient and insurance inquiries professionally and effectively.

Benefits

• Compensation of $19.50 per hour.
• Full medical, dental, and vision insurance plans.
• Flexible paid time off (PTO).
• Employer HSA contribution.
• 9 company-paid holidays.
• 401(k) match of 3% after 90 days of employment.
• Paid parental leave.
• Two-week "ease-back" program allowing parents to return part-time while receiving full pay.
• Supportive workplace culture with opportunities for professional growth.
• Company and team outings.
• Peer-to-peer recognition program.
• Vendor discounts.
• Remote position available within the United States.
• Preferred schedule of Monday through Friday, 9:00 AM–5:30 PM ET.
• Applicants must be authorized to work in the United States; visa sponsorship is not available.