Job Title: Orthodontic Consultant  Department: Operations  Job Location: ProSmile HQ  Reports to: Chief Operating Officer  FLSA Status: Non-Exempt  Direct Reports: None  Company Overview  ProSmile is one of the fastest-growing dental organizations, with a vast network of multi-specialty practices across New Jersey, Pennsylvania, Virginia, Michigan, Illinois, Wisconsin, Indiana, Washington D.C., and Maryland. Our practices are led by top-tier dentists who are committed to providing exceptional patient care while offering a supportive environment for dental professionals to thrive. We focus on delivering personalized, gentle care to our patients and creating a collaborative workplace with opportunities for mentorship, growth, and ongoing training.   Position Summary   We are seeking an experienced and highly skilled Orthodontic Consultant to provide expert guidance on orthodontic-related revenue cycle management, historical system procedures, and operational strategies. This individual will play a key role in evaluating and improving processes, ensuring financial effectiveness, and offering valuable insights into orthodontic systems and procedures to streamline operations. The ideal candidate will have extensive experience in both clinical and administrative aspects of orthodontic care, with a strong understanding of revenue cycle management and historical best practices in the orthodontic field.  Duties and Responsibilities  The duties include, but are not limited to:  +  Revenue Cycle Management:  + Oversee and advise on the entire orthodontic revenue cycle, including coding, billing, insurance verification, collections, and reimbursements.  + Identify inefficiencies in the revenue cycle and recommend process improvements to enhance financial performance and operational efficiency.  + Collaborate with finance and billing teams to ensure compliance with insurance payer guidelines, coding regulations, and reimbursement policies.  + Provide expertise in claim submissions, denials management, and appeals processes specific to orthodontic services.  + Monitor revenue cycle KPIs and advise on strategies to minimize claim rejections and maximize revenue collection.  + Systems & Procedures Guidance:  + Offer historical expertise and insights on orthodontic systems, including practice management software, electronic health records (EHR), and revenue cycle platforms.  + Evaluate current systems, procedures, and software platforms to identify gaps, inefficiencies, or outdated practices in the orthodontic care process.  + Assist in updating and implementing best practices, evidence-based orthodontic systems, and workflows to ensure a seamless patient experience and efficient operation.  + Guide the implementation and training for new systems or technologies to improve overall practice operations.  + Operational Consultation:  + Work closely with orthodontic providers and administrative teams to enhance practice operations, focusing on areas like patient scheduling, treatment planning, and workflow efficiency.  + Provide recommendations for improving provider productivity while ensuring the highest standards of patient care and compliance.  + Advise on maintaining compliance with industry regulations, standards, and best practices specific to orthodontics.  + Stay current on industry trends, regulatory changes, and technological advancements that may impact orthodontic practices and revenue cycles.  + Training & Development:  + Conduct training sessions and workshops for staff on orthodontic revenue cycle management, coding, billing, and best practice workflows.  + Create and maintain training materials, manuals, and documentation to support staff adherence to updated systems and procedures.  + Performs miscellaneous job-related duties as assigned    Qualifications  +  Education: Bachelor’s degree in healthcare management, business administration, or a related field (Master’s degree preferred).  + Experience: Minimum of 5 years of experience in orthodontic consulting, revenue cycle management, or a related healthcare field.  + Certifications: CPC, CCS, or similar certification in coding and revenue cycle management (preferred).  + Strong knowledge of orthodontic coding systems (CPT, ICD-10, CDT) and billing processes.  + Proven ability to analyze, optimize, and implement new systems and processes in orthodontic practices.  + Excellent communication and interpersonal skills, with the ability to collaborate with clinical and administrative teams effectively.  + Experience with orthodontic practice management software and EHR systems.  Knowledge and Skills/Expected Competencies  + Familiarity with orthodontic-specific software and tools (e.g., Dentrix, SOE, Open Dental).  + Knowledge of payer regulations, insurance policies, and reimbursement structures related to orthodontic services.  + Experience with system transitions and change management in a healthcare setting.  Physical/Mental Demands and Work Environment  The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   While performing the duties of this job, the employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, fax machine and printer). The employee may occasionally lift and/or move between 10 and 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. The employee may need to travel to healthcare practices.  The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually low to moderate.  The Company reserves the right to modify the job description based upon its needs and may require the employee to perform functions beyond those mentioned above. Neither this job description nor any other communication creates an employment contract between the Company and the employee.  Equal Employment   Our culture encourages individual development, embraces an inclusive environment, rewards innovative excellence, and leads in provider and patient satisfaction. ProSmile values diversity, inclusion, and equity as matters of fairness and effectiveness. We are committed to hiring and retaining a staff that reflects the diversity of the communities we serve, fostering an inclusive working environment where staff of all backgrounds feel welcomed and engaged.   ProSmile is an Equal Opportunity Employer and encourages applications from individuals underrepresented in the medical sector, including people of color, and persons with non-traditional work and educational experience. All who believe they meet the stated qualifications are invited to apply.  Company Safety  We believe that the best care for our patients starts with the best care for our employees. ProSmile is committed to proactively creating and maintaining an environment that is safe for our team and patients. Employees are required to wear Personal Protective Equipment (PPE) including face masks, gloves, gowns, and more as needed and in accordance with CDC standards.  Benefits Our staff work diligently to deliver quality care to our patients. They are the key to fulfilling our mission! Perks of being part of a team who is keen to their individual growth, our staff members can enjoy our unique benefits package including: Full Time + We provide above industry standards for Personal Protective Equipment (PPE) + Competitive pay + Health & Dental insurance + Dental discounts + PTO + Paid Holidays + 401k Retirement + Opportunities for growth + Continuing education + Flexible schedule + Training support Physical/Mental Demands and Work Environment The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, fax machine and printer). The employee may occasionally lift and/or move between 10 and 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. The employee may need to travel to healthcare practices. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually low to moderate. The Company reserves the right to modify the job description based upon its needs and may require the employee to perform functions beyond those mentioned above. Neither this job description nor any other communication creates an employment contract between the Company and the employee. Equal Employment Our culture encourages individual development, embraces an inclusive environment, rewards innovative excellence, and leads in provider and patient satisfaction. Prosmile values diversity, inclusion, and equity as matters of fairness and effectiveness. We are committed to hiring and retaining a staff that reflects the diversity of the communities we serve, fostering an inclusive working environment where staff of all backgrounds feel welcomed and engaged. ProSmile is an Equal Opportunity Employer and encourages applications from individuals underrepresented in the medical sector, including people of color, and persons with non-traditional work and educational experience. All who believe they meet the stated qualifications are invited to apply. Company Safety We believe that the best care for our patients starts with the best care for our employees. ProSmile is committed to proactively creating and maintaining an environment that is safe for our team and patients. Employees are required to wear Personal Protective Equipment (PPE) including face masks, gloves, gowns, and more as needed and in accordance with CDC standards. Powered by JazzHR