[Hiring] Reconciliation Specialist @RethinkFirst

Role Description

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.

• 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

Qualifications

• 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

Requirements

• 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

Benefits

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

Company Description

RethinkFirst was founded in 2007 with a mission to provide scalable, evidence-based autism treatment training tools and caregiver supports to an underserved population. 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.

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.