Director of Cash Reconciliation
About The Position
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. This role is within the Rethink Billing Overview, which specializes in Revenue Cycle Management, Enrollment and Credentialing, and Benefit Authorization Management services. RethinkFirst, founded in 2007, aims to provide scalable, evidence-based autism treatment training tools and caregiver supports. The company has expanded its offerings to support the entire behavioral health community and is committed to transforming the behavioral health landscape through data science, analytics, and enabling value-based care.
Requirements
- 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
Nice To Haves
- Bachelor’s degree preferred in Healthcare Administration, Accounting, Finance, or related field; relevant experience may substitute for formal education
Responsibilities
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Director
