Billing & Reconciliation Specialist

RethinkFirst; Clayton (MO); Remote; USD 42,000 - 65,000; Full time

Job summary

RethinkFirst is hiring a Reconciliation Specialist to support our Billing Services team in ensuring accurate and timely reimbursement for therapy sessions. You will actively post payments, interpret EOBs/ERAs, and manage enrollment in ERAs across multiple billing platforms.

The role emphasizes HIPAA confidentiality, cross-team communication, and continuous monitoring of payment performance metrics. Remote options are available for eligible states, including MO.

Qualifications

• Minimum 1–2 years payment posting experience.
• ABA experience is preferred.
• Experience using insurance company websites/portals.
• Excellent phone and communication skills.
• Strong attention to detail, critical thinking, and collaboration with internal teams and insurance companies.

Responsibilities

• Reconcile payments posted electronically from the clearinghouse.
• Post manual payments in all billing platforms (Rethink, Tebra, Azalea).
• Review and interpret EOBs and ERAs.
• Post payments from insurance portals.
• Enroll in ERAs to reduce manual posting and monitor enrollment progress.
• Communicate trends identified to the AR team for client accounts.

Skills

Payment posting

ABA experience

Insurance portals

Attention to detail

Communication skills

Education

HS Diploma or Equivalent

Tools

Azalea

Kareo

Rethink EMR

Waystar

Trizetto

Availity

Job description

RethinkFirst is hiring a Reconciliation Specialist to support our Billing Services team in ensuring accurate and timely reimbursement for therapy sessions. You will actively post payments, interpret EOBs/ERAs, and manage enrollment in ERAs across multiple billing platforms.

The role emphasizes HIPAA confidentiality, cross-team communication, and continuous monitoring of payment performance metrics. Remote options are available for eligible states, including MO.