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 Qualifications Experience 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 ForMotion is a global network of Orthotic & Prosthetic patient care clinics. While each practice is unique, with clinical freedom and flexibility to make the right decisions based on the patient’s needs, we are equally aligned in our commitment to improve people’s mobility. You will be joining an organization that is directly transforming prosthetics care, through improving access to the world’s most groundbreaking prosthetic innovations, while delivering exceptional care above all other measures. ForMotion is part of the Embla Medical family, which includes Össur, who have been product innovators and industry leaders for over 50 years. CLICK HERE to view global opportunities at Embla Medical. If you experience any technical issues, please contact: [email protected] ----- ForMotion is a global network of Orthotic & Prosthetic patient care clinics providing exceptional care through award-winning mobility solutions and world-class healthcare professionals. Embla Medical is an equal opportunity employer and makes employment decisions on the basis of merit. We want to have the best available individual in every job. Embla Medical's equal opportunity policy prohibits all discrimination (based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical disability, mental disability, military service, pregnancy, child birth or related medical condition, actual or perceived sexual orientation, or any other consideration made unlawful by local laws around the world). Embla Medical is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all individuals involved in the operations of Embla Medical and prohibits discrimination by any employee of Embla Medical, including supervisors and co-workers. Important Warning: Beware of fraudulent recruiters impersonating our company. Please take extra caution when asked for any sensitive personal information, such as social security numbers or bank account details. We will never ask you for any form of payment during the recruitment process. Please make sure you refer to our official website.

Collections Specialist.

more at Ossur.

Autorisert Ortopediingeniør

Autorisert Ortopediingeniør

Patient Care Specialist

similar roles.

Receiving and General Services, Café 77

Institutional History Museum and Galleries Events Assistant

Oberarzt/Oberärztin für Allgemein- und Viszeralchirurgie (m/w/d)

Insurance Producer at Kinro.

Administrador de Contrato

Contracts Administrator