[Hiring] RCM Payment Reconciliation Specialist @Finni Health

Role Description

The RCM Payment Reconciliation Specialist ensures accurate tracking, posting, and matching of all healthcare financial transactions across clinical systems, electronic remittance advices (ERAs), paper Explanation of Benefits (EOBs), and bank deposits. You will resolve balance discrepancies, audit transaction flows, and safeguard cash integrity across the entire revenue cycle.

Key Responsibilities

• Payment Reconciliation: Reconcile ERAs, EOBs, and patient payments against bank account transactions.
• Variance and Discrepancy Resolution: Research and resolve unposted cash, partial payments, contractual allowances, underpayments, write-offs, and unapplied balance accounts.
• Payer and Patient Escalations: Work with payers on missing payments and reissuance of payments; collaborate with stakeholders to obtain check payments incorrectly issued to clinics and/or patients.
• Reporting and Collaboration: Generate daily, weekly, and month-end reconciliation reports, tracking key performance metrics (e.g., aging unposted cash, posting turnaround times) for RCM and finance leadership.
• Additional Responsibilities: Adapt and take on evolving responsibilities and projects as Finni Health grows and the RCM landscape changes.

Qualifications

• 3+ years of relevant experience in RCM payment posting, RCM operations, or related roles, preferably in an early-stage startup, behavioral or mental health, or healthcare tech.
• Strong understanding of RCM processes, including billing, claims, collections, denial appeals, and accounts receivable management.
• Proven ability to work effectively within a team environment, contributing to collective success, and independently driving RCM initiatives.
• Deep understanding of the full revenue cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (e.g., CMS billing).
• Strong ability to analyze complex RCM/Finance data, identify trends, root causes of issues, and implement effective, data-driven solutions to optimize financial performance.
• Demonstrated expertise in identifying inefficiencies and driving process improvements for RCM/Finance efficiency and effectiveness.
• Excellent written and verbal communication skills, with proven ability to effectively collaborate with internal teams and external stakeholders (payers, vendors, providers).
• Exceptional organizational and time management skills, with the ability to manage multiple priorities and projects in a fast-paced environment.
• Proficient in Google Suite, Slack, CRM/support software, and EHR/RCM management tools. Experience with various EMR/EHR work queue management within RCM is a plus.
• Passion for Finni’s mission to democratize autism care and empower providers through robust RCM.
• Comfortable thriving in a dynamic, fast-paced startup environment, embracing change, and navigating ambiguity with a proactive mindset.

Company Description

Finni Health empowers autism care providers to start, run, and grow their own practices. We democratize autism care by providing access to our insurance network, purpose-built EHR software, HR solutions, and clinical support. We've experienced rapid growth and are backed by top-tier investors like General Catalyst and YCombinator. We seek smart, driven individuals eager to innovate in a dynamic, fast-paced environment.