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 Billing & Posting Specialist is responsible for accurate and timely claim submission and payment posting across all payer types. This role ensures services are billed correctly,
payments are applied appropriately, and billing workflows comply with payer, regulatory, and organizational requirements. The specialist plays a critical role in ensuring clean claims and reliable revenue capture. In addition, this position will assist with claims and A/R follow-up on an as needed basis based on daily volumes of work.
What You’ll Do
Billing & Claims Submission
- Prepare, review, and submit professional and/or institutional claims to commercial, Medicare, and Medicaid payers
- Transmit electronic and paper claims to primary, secondary, and tertiary payers for multiple patient-care locations; verify acceptance and correct clearinghouse or payer rejections within established timeframes.
- Resolve claim edits and rejections prior to payer submission (“clean claim” processes). Validate that modifiers and payer-required claim elements are complete and consistent with documentation.
- Complete assigned charge entry, claim submission, rejection correction, and payment posting within departmental service-level standards and documented work queues.
Payment Posting
- Post payments and adjustments accurately from EOBs, ERAs, and patient payments
- Reconcile payments against contractual allowances and fee schedules
- Identify underpayments or posting discrepancies and route for follow-up to the appropriate supervisor.
- Identify underpayments, overpayments, denials, unapplied cash, credit balances, and post discrepancies; correct items within authority and route or escalate them to the appropriate owner.
- Apply adjustments and write-offs only under approved reason codes, authorization limits, and supporting documentation;
- Protect segregation of duties by escalating suspected duplicate payments, unusual adjustments, refund concerns, or potential fraud, waste, or abuse.
- Maintain accurate patient account balances
Coordination & Compliance
- Work closely with coding, front-office, and AR teams to resolve billing issues
- Maintain compliance with payer guidelines, HIPAA, and internal billing policies
- Assist with audits, reconciliations, and month-end close activities as needed
If and or when daily Billing and Posting volumes are lower than the normal daily volume the individual teammate will assist with A/R Management, Denials Management and Patient and Payer Collections as well. This will be determined by the team members RCM leader.
Reporting
- Maintain collection activity records and account documentation.
- Assist with routine AR reporting and reconciliation activities.
Expected Performance KPI’s and Metrics
- Achieve a days to bill within company defined targets (Defined by a clean claim that has been greenlighted for billing and is ready to have the claim submitted)
- Maintain a company targeted clean claim rate
- Achieve an acceptable payer denial rate established by the company
- Maintain a number of days to post payments and denials within acceptable company guidelines
Competency
- High attention to detail and accuracy
- Strong organizational and time-management skills
- Ability to interpret EOBs and payer remittance data
- Collaborative, process-oriented mindset
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 billing and payment posting experience
- Working knowledge of CPT, ICD-10, and HCPCS coding
- Experience with Medicare, Medicaid, and commercial insurance billing
- Proficiency in healthcare practice management or EHR systems (e.g., Epic, Athena, NextGen, eCW, Nymbl)
- undefined
Preferred Qualifications
- Certified Professional Biller (CPB) or similar certification
- Experience with multi-specialty or high-volume billing environments
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
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