Reconciliation Specialist

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 behavioural 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 behavioural health landscape by inspiring and empowering all individuals with behavioural health challenges and those who support them. We continue to focus on the future of transforming behavioural 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 TheReconciliation Specialistis responsible forsupporting our billing teams by working with our billing services team and insurance companies to ensure efficient and prompt reimbursementreconciliationfor therapy sessions for our customers and activelyposting payments in customers billing systems foraccurateaccounts receivable monitoring. Job Duties: Ensure strict HIPAA-compliant confidentiality with all client-related data Reconcile payments posted electronically from the clearinghouse Post manual paymentsinall billing platforms (Rethink, Tebra, Azalea) Review and interpret EOBs and ERAs Post payments from insurance portals Enroll inERAs whenapplicable to reduce volume of manual posting &monitor/track progress of enrollment requests Communicatetrendsidentifiedwhen posting to Customer Billing Advocate (CBA) / AR team for client Identifyunderpayments/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,OTand 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, Hourly, Monday-Friday (8-5 PM) Remote opportunities are available only in the following states: AL, AR, AZ, CA, CO, FL, GA, ID, IL, IN, IA, MO, NC, NE, 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. Equal employment opportunity, including veterans and individuals with disabilities. #J-18808-Ljbffr Rethink First