RethinkFirst

Billing Specialist

• Ensure strict HIPAA-compliant confidentiality with all client data and claims
• Manage and operate in multiple different billing platforms dependent on client needs which could include Azalea, Tebra, Central Reach and/or Rethink Integrated Billing Module
• Manage assigned client accounts billing scrubs for primary and secondary claims
• Submit claims electronically for primary and secondary payors
• Solve clearinghouse rejections
• Submit corrected claims for billing errors, rebill projects (new plans/new year, new information on payor policies)
• Maintain account spreadsheets, billing cheat sheets, provider, and billing information including provider roster and payer policy billing rules
• Contribute to updates and communicate to Customer Billing Advocate and other members of POD
• Provide internal reporting to team of status and issues for clients within POD
• Meet internal benchmarks for clean claims / first pass rate, unbilled claims, clearinghouse rejections, secondary claims, and denials for billing errors
• Research specific payor billing rules as needed
• Review client billing documentation to ensure claims are submitted based on payor requirements
• Stay informed about Payor and Industry Billing rules
• Foster a positive work environment for team members

Accounts Receivable

• Ensure strict HIPAA-compliant confidentiality with all client-related data
• Review customer account reports and follow up to ensure any flags/concerns are notated proactively and communicated to the Customer Billing Advocate (CBA)
• Review A/R Aging Reports and follow up with insurance companies regarding expected reimbursement for outstanding claims
• Notate & document all follow up work on aging claims within A/R Aging Reports as required and documented in standard SOPs
• Meet expectations on deadlines for completion of A/R Aging Reports for each customer supported within POD
• Follow up on denials immediately and communicate any trends to CBA
• Follow up on any open A/R tickets in Salesforce as assigned by CBA
• Meet deadlines assigned for A/R work as assigned by CBA
• Utilize denial management platforms for submission of appeals, reconsideration requests, etc.
• Research specific payor billing rules as needed
• Follow up on claims submitted electronically for primary and secondary payors
• Submit corrected claims when needed
• Attend POD meetings and contribute to agenda items as designated by CBA
• Post payments or submit missing payments to posting team and maintain A/R as assigned
• File appeals to insurance and to insurance commissioner as needed
• Stay informed about Payor and Industry Billing rules
• Review & interpret payor contracts when applicable
• Measure and monitor key metrics related to work performance
• Attend customer meetings as needed with CBA
• Work to meet POD goals collectively as cohesive team
• Foster a positive work environment for colleagues

AR Specialist

Product Manager

• Define and drive product vision, roadmap, and positioning for ABA/behavioral health solutions used by clinicians, supervisors, and operational teams
• Build business cases grounded in clinical outcomes, care delivery efficiency, and measurable customer value (e.g., documentation quality, supervision effectiveness, retention, utilization)
• Partner with clinical leadership to ensure features align to evidence-based practice, ethical standards, and payer/regulatory expectations where applicable
• Leverage AI tools (e.g., prototyping, vibe coding) to rapidly design and validate workflows
• Deeply understand ABA clinical personas and workflows (e.g., RBTs/BTs, BCBAs, clinical directors, schedulers/billers) and how they intersect across the care journey
• Use qualitative and quantitative data (including AI-assisted analysis) to uncover friction, quality gaps, and opportunities to improve outcomes and clinician experience
• Continuously gather feedback from clinicians and customers to inform product direction, adoption, and clinical quality; incorporate learnings into roadmap and backlog
• Own end-to-end product lifecycle from discovery to launch and iteration for clinical workflows (e.g., assessment support, treatment planning/BIPs, session documentation, supervision, outcomes reporting)
• Translate strategy into epics, features, acceptance criteria, and prioritized backlogs for Agile teams; clarify clinical edge cases and decision logic
• Partner with design and engineering to deliver usable, scalable solutions that fit real clinical environments and reduce cognitive burden
• Use AI-assisted workflows to accelerate documentation of requirements, test planning, and iteration while ensuring clinical safety and privacy controls
• Align stakeholders, manage dependencies (e.g., clinical, compliance, billing/ops), and drive timely delivery across releases
• Define and track success metrics tied to clinical quality, outcomes, and operational impact; use data to optimize product performance
• Monitor adoption and utilization across clinical roles; iterate via experimentation, rapid prototyping, and structured feedback loops with clinicians
• Partner with commercial and customer teams to support sustainable growth while protecting clinical integrity and customer trust

Product Manager, Clinical – BCBA Preferred

Manager

• Support the execution of strategic initiatives across the revenue cycle
• Drive coordination, organization, and accountability across cross-functional teams
• Serve as a central point of coordination for transformation efforts
• Maintain visibility, manage timelines, and ensure consistent follow-through across all active workstreams
• Partner closely with leadership to drive results
• Maintain a centralized tracker of all revenue cycle transformation initiatives
• Ensure all projects have defined owners, timelines, and next steps
• Monitor progress and proactively follow up on outstanding deliverables
• Coordinate and facilitate weekly and monthly project meetings
• Prepare agendas, capture notes, and document action items
• Partner with operations, technology, and analytics teams to ensure alignment
• Prepare regular status reports and dashboards
• Support standardized templates and tracking tools

Manager, Revenue Cycle Transformation

Operations

• Ensure strict HIPAA-compliant confidentiality with all client-related data
• Build and oversee A/R team to manage assigned accounts and mitigate AR backlog
• Oversee QA manager & work closely with QA team to improve program and processes developed for RCM team across functions
• Assist in developing strategic plans/programs to enhance RCM functionality to exceed the goals/objectives assigned to the RCM team.
• Delineate, define, and streamline functional activities, ensuring maximum utilization of all resources in the US and India.
• Travel to India to meet with the team at least twice a year.
• Assist in identifying, analyzing, and addressing challenges and/or breakdowns in the processes across the RCM Team
• Oversee Vendor productivity and performance, including management of procedures and workflows
• Make recommendations to Rethink leadership to address and improve our customer’s experience.
• Aid in account escalations from management and clients to ensure a timely resolution is reached & communicated when needed
• Assist in monitoring/updating project plans surrounding key initiatives for the RCM team and assure deadlines/goals are being met
• Assist in monitoring/updating internal and external reporting requirements.
• Regularly provide VP of Revenue Cycle Management with status updates including account escalations, weekly KPI reporting, staffing concerns and quality assessments
• Assist in the development and execution of growth strategy initiatives (e.g. Integrated Billing system roll-out, acquisition integration) to achieve RCM revenue targets
• Evaluate Vendor performance, provide feedback and deliver/monitor action plans
• Identify and implement process improvements and workflow automation of RCM functions
• Interview candidates, as needed
• Other special projects/assignments as needed

Director of RCM Operations

Director

• Oversee all payment posting (ERA, EOB, EFT, patient payments)
• Ensure timely and accurate posting of payments
• Reconcile bank deposits with system records
• Investigate and resolve payment discrepancies
• Manage underpayments, overpayments, and unapplied cash
• Establish internal controls and audit readiness processes
• Partner with AR, billing, and finance teams
• Manage and oversee both offshore and onshore cash posting teams

Director of Cash Reconciliation

Product Designer

• Design high-quality product experiences across RethinkFirst’s product ecosystem.
• Lead design for product features and workflows across RethinkBH, RethinkCare, and RethinkEd.
• Partner closely with product managers, engineers, designers, subject matter experts, and business stakeholders.
• Create user flows, journey maps, wireframes, prototypes, high-fidelity designs, and clear design specifications.
• Use advanced Figma skills to create polished design work.
• Experiment with AI-generated or AI-assisted prototypes to validate workflows, demonstrate product concepts.
• Present design work and prototypes with confidence and clarity to stakeholders and leadership.

Senior Product Designer

• Oversee all initial claim generation and submission processes
• Ensure timely and accurate claim submission
• Maintain clean claim rate targets (>95%)
• Lead clearinghouse edits and rejection management
• Perform root-cause analysis on billing issues
• Standardize billing workflows across the organization
• Partner with coding, credentialing, and payer teams
• Lead billing managers and supervisors
• Manage and oversee both offshore and onshore billing teams

Director of Billing, RCM

• Define and drive product vision, roadmap, and positioning
• Identify and prioritize AI/ML opportunities to solve clinical and operational needs
• Build business cases grounded in ROI, data insights, and AI-driven value creation
• Stay ahead of market trends, especially in AI, digital health, and ABA solutions
• Leverage AI tools (e.g., prototyping, copilots) to rapidly design and validate user experiences
• Deeply understand user personas and workflows across clinical and business contexts
• Use qualitative + quantitative data (incl. AI-driven analytics) to uncover insights
• Continuously gather stakeholder feedback to inform product direction and adoption
• Own end-to-end product lifecycle from discovery to launch and iteration
• Translate strategy into epics, features, and prioritized backlogs for Agile teams
• Partner with design and engineering to deliver high-quality, scalable solutions
• Use AI-assisted workflows to accelerate development, testing, and iteration
• Align stakeholders, manage dependencies, and drive timely delivery
• Define and track success metrics; use data to optimize product performance
• Monitor adoption, utilization, and outcomes; iterate using experimentation (A/B testing, rapid prototyping)
• Own product P&L and ensure sustainable growth and impact

Business Development Rep

• Generate qualified meetings and pipeline through outbound prospecting and inbound lead follow-up
• Research and prioritize target accounts and key personas within assigned territories
• Execute multi-channel outreach (calls, email, social, events) with personalized, value-driven messaging
• Qualify prospects using defined frameworks (e.g., MEDDPICC) and transition opportunities to Account Executives
• Maintain accurate and up-to-date activity tracking in CRM and sales engagement tools
• Partner with Marketing on campaigns, messaging feedback, and lead quality optimization
• Consistently meet or exceed activity, meeting, and pipeline generation targets.