Billing and Posting Specialist

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 payersTransmit 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 paymentsReconcile payments against contractual allowances and fee schedulesIdentify 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 issuesMaintain compliance with payer guidelines, HIPAA, and internal billing policiesAssist 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 rateAchieve an acceptable payer denial rate established by the companyMaintain a number of days to post payments and denials within acceptable company guidelines Competency High attention to detail and accuracyStrong organizational and time-management skillsAbility to interpret EOBs and payer remittance dataCollaborative, 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 experienceWorking knowledge of CPT, ICD-10, and HCPCS codingExperience with Medicare, Medicaid, and commercial insurance billingProficiency in healthcare practice management or EHR systems (e.g., Epic, Athena, NextGen, eCW, Nymbl)undefined Preferred Qualifications Certified Professional Biller (CPB) or similar certificationExperience 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 hierarchiesTailored onboarding and a buddy system to help you feel at home from day oneContinuous learning through e-learning, training, and language coursesA “you” culture where everyone—from interns to executives—is treated with respectCompetitive Compensation PackagesMedical, Dental, and Vision Benefits401(k) Retirement Plan with employer matching contribution8 paid holidays13 vacation days, birthday and two (2) volunteer days8 sick days within your first year of employmentPaid Parental Bonding