Treatment & Network Details Specialist

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 are able to live and work full-time in one of the states listed above. The Opportunity Are you a seasoned orthodontic or dental professional with a deep understanding of insurance, treatment planning, and patient care? If so, this role could be a perfect fit. As a Treatment and Network Details Specialist, you’ll play a critical role in helping new practices get up and running with OrthoFi’s platform. You’ll work closely with our training and implementation teams during the onboarding phase to customize each practice’s system setup—translating treatment offerings, fee schedules, and insurance participation into our platform’s configuration. Your experience will help ensure a smooth transition and long‑term success for the practices we serve. You’ll also act as an internal expert post‑implementation, maintaining and updating key information, supporting users with best practices, and ensuring our clients get the most out of OrthoFi’s tools—especially when it comes to insurance. What You Will Do Conduct virtual, face‑to‑face meetings with orthodontic practices and/or organizational leadership during the pre‑implementation phase and throughout the ongoing client relationship. Provide hands‑on training and guidance to practice teams on network‑specific best practices, ensuring smooth insurance workflows and optimized billing. Perform treatment and network analyses to identify opportunities that maximize treatment fees and improve practice profitability. Gather and document current insurance workflows and fee presentation processes, translating them into OrthoFi’s system language and configuration. Communicate cross‑functionally to share practice‑specific needs and recommend system workarounds to ensure smooth adoption. Collaborate closely with OrthoSuccess Managers to drive strong client outcomes and support high NPS scores through continued insurance education and workflow optimization. Delegate, track, and review the work of team admins to support scalable, high‑quality implementations and ongoing account maintenance. Configure OrthoFi’s system so that practice users can efficiently create treatment plans, fee presentations, service contracts, and submit accurate claims. Interpret a practice’s treatment offerings and corresponding fees to support in‑network reimbursement strategies and clean claim submission. Accurately assign current CDT procedure codes based on treatment types and insurance requirements. Identify billing processes and requirements based on the practice’s network participation. Conduct deep‑dive investigations into benefits and write‑offs to ensure accurate billing and reimbursement processes. Proactively identify opportunities for workflow or system enhancements based on user feedback and practice needs. The Skill Set 2+ years of hands‑on experience in an orthodontic or dental office—ideally in treatment coordination, insurance coordination, or front desk roles. Strong knowledge of dental/orthodontic insurance, claims submission, network participation, and billing workflows. Understanding of orthodontic procedures, appliances, technologies, and treatment plan presentation. Prior experience with OrthoFi is a big plus—or a willingness to learn the platform quickly. Exceptional communication skills—confident working with both practice staff and internal teams via Zoom, phone, email, or chat. Proficiency in Excel and general computer/software skills. Detail‑oriented mindset with strong time management and organizational skills. A flexible, solutions‑focused approach to problem‑solving. Empathy and passion for making a positive impact on practices and patients alike. Familiarity with practice management systems (e.g., Cloud 9, Dolphin, Ortho2). Prior experience leading training or onboarding for dental/ortho teams. PMP certification or project management background. 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: $50,000 annually 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. 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. #J-18808-Ljbffr