Reconciliation Specialist

Rethink-First; United States; Remote; USD 28,000 - 39,000; Full time

Benefits offered by this job

PTO and Vacation Days

Paid Holidays

Health benefits

401k + Matching

Job summary

RethinkFirst is seeking a dedicated Reconciliation Specialist to support billing teams by reconciling therapy session reimbursements and posting payments across multiple platforms. You will review EOBs/ERAs, monitor accounts receivable, and coordinate with the AR team to resolve payment discrepancies.

This is a full-time role with remote opportunities across listed states. Ideal candidates will have 1–2 years of payment posting experience, familiarity with insurance portals, and strong

Qualifications

• HS Diploma or Equivalent.
• 1–2 years payment posting experience.
• ABA experience.
• Experience using insurance company websites/portals.
• Professional phone skills.
• Excellent attention to detail and communication with internal teams and insurance companies.

Responsibilities

• Ensure HIPAA-compliant confidentiality with all client data.
• Reconcile payments posted from the clearinghouse.
• Post manual payments in 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 to the AR team for client awareness.
• Identify underpayments/overpayments and coordinate resolutions.
• Measure key performance metrics for work.
• Review payor contracts when applicable.
• Foster a positive working environment.
• Handle special projects as needed.

Skills

Attention to detail

Communication

Phone skills

Critical thinking

Education

HS Diploma or Equivalent

Tools

Azalea

Kareo

Rethink EMR

Waystar

Trizetto

Availity

Job description

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

TheReconciliation Specialistis responsible forsupporting our billing teams by working with our billing services team and insurance companies to ensure efficient and prompt reimbursementreconciliationfor therapy sessions for our customers and activelyposting payments in customers billing systems foraccurateaccounts receivable monitoring.

Job Duties

• Ensure strict HIPAA-compliant confidentiality with all client-related data
• Reconcile payments posted electronically from the clearinghouse
• Post manual paymentsinall billing platforms (Rethink, Tebra, Azalea)
• Review and interpret EOBs and ERAs
• Post payments from insurance portals
• Enroll inERAs whenapplicable to reduce volume of manual posting &monitor/track progress of enrollment requests
• Communicatetrendsidentifiedwhen posting to Customer Billing Advocate (CBA) / AR team for client
• Identifyunderpayments/overpayments & ensure proper communication across POD members (CBA & AR Team) for resolution
• Measure andmonitorkey 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,OTand 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.