RethinkFirst

Director of Cash Reconciliation

Remote
Full Time
RCM
Executive

Company Overview 

RethinkFirst was founded in 2007 with a mission to provide scalable, evidence-based autism treatment training tools and caregiver supports to an underserved population. In 2010, Rethink launched its first solution, a suite of special needs and behavior management offerings, to support K-12 education. Over time, we expanded our offerings to support the entire behavioral health community by adding solutions in the employer (RethinkCare), provider (RethinkBH), and payor (RethinkFutures) industries, and to drive whole child wellness and success in education (RethinkEd). 

Today, we’re proud to have almost 500 team members working to support over 2,000 customers worldwide as we work together to support our communities and help every individual reach their potential. 

Over the past fifteen years, RethinkFirst’s mission has evolved to transform the behavioral health landscape by inspiring and empowering all individuals with behavioral health challenges and those who support them. We continue to focus on the future of transforming behavioral health through data science, analytics, and enabling value-based care. With patent-pending solutions and the largest published ASD dataset, RethinkFirst can focus on improving outcomes and having a positive impact on the millions of lives it supports.   

Rethink Billing Overview 

Our Billing Services Division specializes in Revenue Cycle Management, Enrollment and Credentialing, and Benefit Authorization Management 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. 

Job Summary:  
The Director of Cash Reconciliation is responsible for overseeing all payment posting and reconciliation processes to ensure financial accuracy and integrity across the revenue cycle. 

Job Duties: 

• 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 

Key Metrics 

• Posting accuracy rate 

• Reconciliation accuracy 

• Unapplied cash aging 

• Payment variance resolution time 

Qualifications:

Education 

  • Bachelor’s degree preferred in Healthcare Administration, Accounting, Finance, or related field; relevant experience may substitute for formal education 

Knowledge/Skills: 

  • 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 

Location: Remote opportunities are available to candidates who reside in the following states: AL, AZ, AR, CA, CO, FL, GA, ID, IL, IN, IO, MO, NE, NY, NC, 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. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws. Accommodations are available for applicants with disabilities. 

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