RethinkFirst

Reconciliation Specialist

Remote
Full Time
RCM
Entry Level

Rethink Behavioral Health is the leading global provider of online research-based resources to support individuals with developmental disabilities. Our behavioral health platform (http://RethinkBH.com) provides clinical, staff training and practice management tools for private ABA service providers. Due to autism insurance mandates sweeping the nation, our behavioral health division is experiencing unprecedented growth. Therefore, we are looking for the right person to join our billing service team. 

Our Billing Services Division specializes in Revenue Cycle Management and Enrollment and Credentialing services. We are growing and are looking for new team members that will offer our clients best in class billing services. We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. We are excited to offer the opportunity for professional and collaborative individuals to grow and be part of something exciting.  

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. 
 
Main Responsibilities: 

  • 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: 

  • 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 

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 
     

Education:  

  • HS Diploma or Equivalent required 
     

Benefits: 

  • PTO and Vacation Days after a 90-day introductory period 

  • Paid Holidays 

  • Generous Health, Denial & Vision benefits package 

  • 401k + Matching 
     

Job Type: Full-time, Monday-Friday (8-5 PM) 

Hourly 

Remote opportunities are available only in the following states: AL, AR, AZ, CA, CO, FL, GA, ID, IL, IN, IA, MO, NC, NE, NY, OH, PA, SC, TN, TX, UT, VA

Our commitment to an inclusive workplace 

RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities. 

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