Reconciliation Specialist

RethinkFirst; California City (CA); Teletrabalho; USD 28 000 - 39 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

PTO & Vacation Days after a 90-day

Paid Holidays

Health, Dental & Vision benefits

401k + Matching

Resumo da oferta

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,

Qualificações

• 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.

Responsabilidades

• 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.

Conhecimentos

Payment posting

ABA experience

Attention to detail

Critical thinking

Communication

Willing to learn

Phone skills

Formação académica

HS Diploma or Equivalent

Ferramentas

Azalea

Kareo

Rethink EMR

Waystar

Trizetto

Availity

Descrição da oferta de emprego

Company Overview

RethinkFirst was founded in 2007 with a mission to provide scalable, evidence-based autism treatment training tools and caregiver supports to an underserved population. In 2010, Rethink launched its first solution, a suite of special needs and behavior management offerings, to support K-12 education. Over time, we expanded our offerings to support the entire behavioral health community by adding solutions in the employer (RethinkCare), provider (RethinkBH), and payor (RethinkFutures) industries, and to drive whole child wellness and success in education (RethinkEd).

Today, we're proud to have almost 500 team members working to support over 2,000 customers worldwide as we work together to support our communities and help every individual reach their potential. Over the past fifteen years, RethinkFirst's mission has evolved to transform the behavioral health landscape by inspiring and empowering all individuals with behavioral health challenges and those who support them. We continue to focus on the future of transforming behavioral health through data science, analytics, and enabling value-based care. With patent-pending solutions and the largest published ASD dataset, RethinkFirst can focus on improving outcomes and having a positive impact on the millions of lives it supports.

Rethink Billing Overview

Our Billing Services Division specializes in Revenue Cycle Management, Enrollment and Credentialing, and Benefit Authorization Management services. We are growing and are looking for new team members that will offer our clients best-in-class billing services. We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. We are excited to offer the opportunity for professional and collaborative individuals to grow and be part of something exciting.

Job Summary

The Reconciliation Specialist is responsible for supporting our billing teams by working with our billing services team and insurance companies to ensure efficient and prompt reimbursement reconciliation for therapy sessions for our customers and actively posting payments in customers billing systems for accurate accounts receivable monitoring.

Job Duties

• 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 volume of manual posting & monitor/track progress of enrollment requests
• Communicate trends identified when posting to Customer Billing Advocate (CBA) / AR team for client
• Identify underpayments/overpayments & ensure proper communication across POD members (CBA & AR Team) for resolution
• Measure and monitor key metrics related to work performance
• Review & interpret payor contracts when applicable
• Foster a positive work environment for colleagues
• Special projects as needed

Requirements

• HS Diploma or Equivalent
• Minimum 1-2 years payment posting experience
• ABA experience
• Experience using insurance company websites/portals
• Willing to learn, positive attitude and loves a good challenge
• Professional phone skills
• This role requires exceptional attention to detail, critical thinking and excellent communication with internal teams and insurance companies

Preferred Qualifications

• Speech, OT and Mental Health experience
• Minimum 1-year experience working in an office setting
• Minimum 1 year experience in billing both major commercial insurance companies as well as state Medicaid programs
• Experience using Billing Software (Azalea, Kareo), EMR (Rethink) and Clearinghouse systems (Waystar, Trizetto, Availity)
• Proficient using Microsoft Suite (Outlook, Excel, Word) and Google Docs/Sheets

Education

• HS Diploma or Equivalent required

Benefits

• PTO and Vacation Days after a 90-day introductory period
• Paid Holidays
• Generous Health, Denial & Vision benefits package
• 401k + Matching

Job Type

Full-time, Hourly, Monday-Friday (8-5 PM)

Remote opportunities are available only in the following states

AL, AR, AZ, CA, CO, FL, GA, ID, IL, IN, IA, MO, NC, NE, OH, PA, SC, TN, TX, UT, VA

Our commitment to an inclusive workplace

RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.