Reconciliation Specialist

RethinkFirst

Reconciliation Specialist responsible for ensuring efficient reimbursement reconciliation for therapy sessions. Collaborating with billing services team and insurance companies for accurate accounts receivable monitoring.

Posted 6/25/2026full-timeRemote • Alabama, Arizona, California, Colorado, Florida, Idaho, Illinois, Iowa, Montana, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia • 🇺🇸 United StatesJuniorWebsite

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

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
Speech, OT and Mental Health experience preferred
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

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

payment postingbillingEOB interpretationERA enrollmentunderpayment identificationoverpayment identificationkey metrics measurementpayor contract reviewattention to detailcritical thinking

Soft Skills

communicationpositive attitudeteam collaborationprofessional phone skillswillingness to learnproblem-solvingfostering a positive work environmentadaptabilitycustomer serviceinterpersonal skills

Certifications

HS DiplomaEquivalent