Collections Specialist

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.

About ForMotion

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.

Responsibilities

• The specialist ensures accurate account documentation, maintains compliance with established procedures, and collaborates with internal teams to support efficient revenue cycle operations.
• 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.
• & 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
• Ability to analyze denial data and identify root causes Results-driven with a focus on cash acceleration and resolution

Requirements

• Goals Achieve the Net Collection Rates established by the Company Competency Persistence and strong problem-solving skills

Excellent written and verbal communication

• 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.

Benefits

• 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
• 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

Work Environment

Remote or hybrid depending on organizational needs.