Remote Trizetto Jobs (NOW HIRING)

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 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. 
Job Duties:

• 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 

• 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 

• 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 

• 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, 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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