Orthodontic Insurance & Billing Specialist

Job OverviewOur client is seeking a detail-oriented Orthodontic Insurance & Billing Specialist to take full ownership of the practice's orthodontic insurance workflows and administrative tracking. In this behind-the-scenes role, you will ensure that every scheduled consultation is backed by verified coverage information, research specialized orthodontic benefits, track incoming carrier payments, and resolve payment discrepancies.

This role directly impacts practice efficiency and patient trust by eliminating financial surprises before patients arrive for their appointments. Client OverviewOur client is a growing orthodontic practice based in Bermuda Dunes, California, dedicated to delivering specialized orthodontic care. The practice focuses on maintaining streamlined administrative processes to ensure patients receive transparent, accurate insurance information prior to their consultations.

To support patient satisfaction and maintain financial precision, they are onboarding a dedicated remote specialist to own their insurance verification and payment tracking operations.

ScheduleMonday - Thursday, 1:00 PM - 5:00 PM PST | Friday, 9:00 AM - 1:00 PM PST (20 hours per week) ResponsibilitiesOrthodontic Insurance Verification & Benefit Research:Verify orthodontic-specific insurance coverage for new patient consultations by contacting insurance carriers directly or navigating carrier portals.Gather, confirm, and document detailed orthodontic benefits, including benefit caps, age limits, lifetime maximums, and waiting periods, prior to patient arrival.Coordinate real-time insurance information with the in-clinic practice team to prepare accurate treatment plan estimates.Payment Tracking, Reconciliation & Administrative Support:Monitor and track incoming insurance payments through carrier portals and direct follow-ups with insurance representatives.Audit processed claims and investigate payment discrepancies when insurance payouts fall short of estimated amounts.Maintain accurate and up-to-date verification logs and payment disposition records within the practice management system.Navigate carrier portals securely and manage two-step verification processes as required.

RequirementsProven experience in orthodontic insurance verification, with a strong grasp of how orthodontic coverage differs from general dental insurance.Direct experience calling insurance reps and navigating online payer portals to retrieve complex benefit details.Strong background in tracking carrier payments, investigating short-pays, and maintaining clean administrative records.Experience working with practice management software and managing secure two-step portal authentications.Meticulous documentation habits with HIPAA awareness and data privacy discipline.

QualificationsExperience with Grayfinch practice management software is a major bonus. Independent Contractor PerksPermanent work from homeImmediate hiring NotePlease click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

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