The posting
ForMotion is a global network of Orthotic and Prosthetic Patient Care clinics, focused on providing world-class, compassionate care for patients with mobility challenges.
Our clinic is part of the ForMotion global network of Patient Care clinics owned by Embla Medical, which also owns Össur, a leading global provider of prosthetics and bracing and supports solutions; Fior & Gentz, an innovative developer of neuro orthotics; and College Park, creators of custom-built prosthetic solutions for people of all activity levels.
We are dedicated to providing the best possible care to our patients to help them live Life Without Limitations
About the Role
The Collections & AR Specialist is responsible for managing assigned accounts receivable balances and supporting the timely resolution of outstanding payer and patient accounts. This role performs post-billing follow-up activities, researches unpaid or underpaid claims, and works with payers and patients to resolve reimbursement issues. The specialist ensures accurate account documentation, maintains compliance with established procedures, and collaborates with internal teams to support efficient revenue cycle operations.
What You’ll Do
Accounts Receivable Management
- Monitor and work assigned payer and patient accounts using documented prioritization criteria, including aging, dollar value, timely-filing or appeal deadlines, payer requirements, and collectability.
- Perform routine follow-up activities to resolve outstanding claims and balances.
- Maintain productivity and quality standards for assigned accounts.
Denials & Follow-Up
- Research and resolve denials, partial payments, underpayments, recoupments, and payment delays using remittance codes, payer policies, contract terms, claim history, and supporting documentation.
- Submit corrected claims, appeals, and supporting documentation as required.
- Communicate with payers regarding claim status and reimbursement issues.
- Document account activity and follow-up actions accurately.
Patient & Payer Collections
- Follow up on payer and patient balances through approved channels and workflows, using accurate balance information and respectful, HIPAA and professionally compliant communications.
- Document each contact attempt, payer or patient response, reference number, action taken, next step, owner, and follow-up date in the designated system.
- Protect timely-filing, reconsideration, and appeal rights; escalate approaching deadlines, high-dollar accounts, systemic payer issues, and exhausted appeal options under departmental policy.
- Use approved adjustment, write-off, bad-debt, payment-plan, and financial close a work item.
- Coordinate with billing, coding, CCS, authorization, clinical documentation contracting, cash posting, and operational teams to correct root causes and prevent recurrence.
- Maintain accurate account documentation in billing systems.
Coordination & Compliance
- Collaborate with billing, coding, and customer service teams to resolve reimbursement issues.
- Follow payer requirements, HIPAA, organizational policies, applicable federal and state collection requirements, approved communication practices, and financial assistance and refund policies.
- Escalate complex reimbursement issues to leadership when appropriate.
- If there is a need and time permits assist with the billing team in submitting as directed by your supervisor.
Reporting
- Maintain collection activity records and account documentation.
- Assist with routine AR reporting and reconciliation activities.
Expected Performance KPI’s and Metrics
- Achieve published company DSO or Days in A/R Targets
- Maintain an Acceptable Denial Rate
- Maintain a % of A/R > 90 Days within company Goals
- Achieve the Net Collection Rates established by the Company
Competency
- Persistence and strong problem-solving skills
- Excellent written and verbal communication
- Ability to analyze denial data and identify root causes
- Results-driven with a focus on cash acceleration and resolution
Work Environment
- Remote or hybrid depending on organizational needs.
- Requires frequent communication with clinics, payers, and internal teams.
- Fast-paced environment with strict timelines and competing priorities.
Who You Are
- High school diploma or equivalent (Associate degree preferred)
- 2+ years of healthcare AR, collections, or denial management experience
- Strong knowledge of payer reimbursement methodologies and denial codes
- Experience working Medicare, Medicaid, and commercial payer AR
- Familiarity with EOBs, ERAs, and payer portals
- Preferred QualificationsExperience with appeal writing and medical necessity denials Certified Revenue Cycle Representative (CRCR) or similar certification Background in a high-volume or complex payer environment
Why You’ll Feel Good Working Here
We believe people do their best work when they feel good—personally and professionally. That’s why we offer:
- A culture rooted in trust, empathy, and Nordic-inspired flat hierarchies
- Tailored onboarding and a buddy system to help you feel at home from day one
- Continuous learning through e-learning, training, and language courses
- A “you” culture where everyone—from interns to executives—is treated with respect
- Competitive Compensation Packages
- Medical, Dental, and Vision Benefits
- 401(k) Retirement Plan with employer matching contribution
- 8 paid holidays
- 13 vacation days, birthday and two (2) volunteer days
- 8 sick days within your first year of employment
- Paid Parental Bonding
