Director of Cash Reconciliation

RethinkFirst

. Oversee all payment posting (ERA, EOB, EFT, patient payments) .

Posted 5/5/2026full-timeRemote • Alabama, Arizona, California, Colorado, Florida, Idaho, Illinois, Iowa, Montana, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

Bachelor’s degree preferred in Healthcare Administration, Accounting, Finance, or related field; relevant experience may substitute for formal education
8–10+ years of revenue cycle experience, with focus on payment posting and reconciliation
Strong understanding of EOBs/ERAs, cash application, and reconciliation processes
Experience managing high-volume posting teams (onshore/offshore)
Strong attention to detail, reporting, and process optimization skills

Benefits

Comp & perks

Flexible work arrangements
Professional and collaborative environment

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

payment postingreconciliationcash applicationEOBERAaudit readinessinternal controlspayment discrepanciesunderpaymentsoverpayments

Soft Skills

attention to detailreportingprocess optimizationteam managementcollaboration