Billing Reconciliation Specialist (Remote Options)

RethinkFirst; California City (CA); Remote; USD 28,000 - 39,000; Full time

Benefits offered by this job

PTO & Vacation Days after a 90-day

Paid Holidays

Health, Dental & Vision benefits

401k + Matching

Job summary

RethinkFirst is seeking a Reconciliation Specialist to support our billing teams by reconciling payments and posting them across multiple billing platforms. You will work with insurance companies to ensure timely reimbursements for therapy sessions and actively monitor accounts receivable within HIPAA-compliant workflows.

The role requires strong attention to detail, communication with internal teams and insurers, and the ability to interpret EOBs/ERAs while using our billing tools (Azalea,

Qualifications

• HS Diploma or Equivalent required.
• 1–2 years payment posting experience.
• ABA experience preferred.
• Experience using insurance company websites/portals.
• This role requires attention to detail and excellent communication with internal teams and insurers.

Responsibilities

• Ensure strict HIPAA-compliant confidentiality with all client-related data.
• 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 when applicable to reduce manual posting and monitor enrollment progress.
• Communicate trends identified when posting to CBA/AR team for client.
• Identify underpayments/overpayments and ensure proper communication across POD members for resolution.
• Measure and monitor key metrics related to work performance.
• Review and interpret payor contracts when applicable.
• Foster a positive work environment for colleagues.
• Take on special projects as needed.

Skills

Payment posting

ABA experience

Attention to detail

Critical thinking

Communication

Willing to learn

Phone skills

Education

HS Diploma or Equivalent

Tools

Azalea

Kareo

Rethink EMR

Waystar

Trizetto

Availity

Job description

RethinkFirst is seeking a Reconciliation Specialist to support our billing teams by reconciling payments and posting them across multiple billing platforms. You will work with insurance companies to ensure timely reimbursements for therapy sessions and actively monitor accounts receivable within HIPAA-compliant workflows.

The role requires strong attention to detail, communication with internal teams and insurers, and the ability to interpret EOBs/ERAs while using our billing tools (Azalea,