Remote Billing Reconciliation Specialist

RethinkFirst; Eagle (ID); Remote; USD 25,000 - 39,000; Full time

Benefits offered by this job

PTO and Vacation Days after 90-day"

Paid Holidays

Health benefits

401k + Matching

Job summary

RethinkFirst is seeking a Reconciliation Specialist to support billing teams by reconciling therapy-session reimbursements and posting payments across multiple systems. You will help ensure accurate accounts receivable and collaborate with insurance companies to resolve discrepancies.

Ideal candidates have 1–2 years of payment posting experience, strong attention to detail, and excellent communication skills to coordinate with internal teams and external payors. HIPAA compliance is essential.

Qualifications

• Must have HIPAA-compliant handling of client data.
• Typically 1–2 years of payment posting experience.
• Experience using insurance portals and billing platforms.

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 and enroll in ERAs when applicable.
• Identify underpayments/overpayments and coordinate resolution with CBA/AR teams.

Skills

HIPAA compliance

Attention to detail

Communication

Phone skills

Critical thinking

Education

HS Diploma or Equivalent

Tools

Billing Software (Azalea, Kareo)

EMR (Rethink)

Clearinghouse systems (Waystar, Trizetto, Availity)

Microsoft Office

Job description

RethinkFirst is seeking a Reconciliation Specialist to support billing teams by reconciling therapy-session reimbursements and posting payments across multiple systems. You will help ensure accurate accounts receivable and collaborate with insurance companies to resolve discrepancies.

Ideal candidates have 1–2 years of payment posting experience, strong attention to detail, and excellent communication skills to coordinate with internal teams and external payors. HIPAA compliance is essential.