Reconciliation Specialist at Charlie Health

This role is ideal for a mid-level revenue cycle professional with 3–5 years of specific experience in cash posting and patient account reconciliation. The team

Work type: hybrid

Location: Nashville, TN

Type: Full-time

Summary

This role is ideal for a mid-level revenue cycle professional with 3–5 years of specific experience in cash posting and patient account reconciliation. The team is looking for a "puzzle solver" who understands the entire lifecycle of a medical claim and has the technical proficiency to navigate clearinghouses, insurance portals, and complex EMR systems. Located in Nashville, this hybrid position offers the chance to join a fast-growing behavioral health organization. While compensation is not specified, the role provides comprehensive benefits and the opportunity to work with modern tools like Salesforce and Slack. It’s a great fit if you enjoy independent, detail-oriented work but want to contribute to a mission-driven company tackling the mental health crisis. **You might be a good fit if you...** * Have "advanced" Excel skills and are comfortable managing large datasets for account balancing. * Are experienced in NextGen (a major plus) or similar medical billing technology. * Enjoy the "investigative" side of healthcare finance—identifying why a balance isn't zero and fixing it. * Live in the Nashville area and are comfortable with a hybrid office schedule.

Job Description

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### Why Charlie Health?

Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.

Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we’re expanding access to meaningful care and driving better outcomes from the comfort of home.

As a rapidly growing organization, we're reaching more communities every day and building a team that’s redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we’d love to meet you.

### About the Role

The purpose of this position is to ensure that the overall patient account is billed, reimbursed, posted, money allocated appropriately to get the balance of the account to a zero balance. The candidate for this role would need to be diverse in all aspects of the revenue cycle as they will understand the complexities of the life cycle of a claim.

Our team is comprised of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way.

### Responsibilities

• Communication Skills: As a posting reconciliation specialist, you may be required to communicate with internal teammates, insurance companies or patients for resolution of accounts

• Attention to detail and accuracy: Reconciliation specialists must have excellent attention to detail to ensure they are accurately posting insurance and/or patient payments into the billing system. Attention to detail is also important when reconciling accounts to ensure the patient’s account is accurate

• Problem-solving: Problem-solving skills are essential for posting reconciliation specialists, as they often work with insurance payers and/or patients to resolve accounts. Posting Reconciliation specialists use their problem-solving skills to identify account issues and develop strategies to resolve them. They also use problem-solving skills to identify and address any challenges that arise during the reconciliation process

• Organization: Posting Reconciliation specialists often use organizational skills to keep track of their caseload and the information they gather during their reviews of accounts. They also use organizational skills to keep their workspace tidy and organized. This can help them find information quickly and complete their work on time

• 3-5 years of experience in cash posting and/or reconciliation of patient accounts

• Proficient in Google, Google Docs, with advanced Excel skills

• Experience with NexGen a plus

• Ability to work independently and with a team

• Meet deadlines and KPI metric expectations

• Experience in navigating clearinghouses and insurance portals

• Proficiency with medical record technology required

• Work authorized in the United States and native or bilingual English proficiency

• Familiarity with and willingness to use cloud-based communication software—Google Suite, Slack, Zoom, Dropbox, Salesforce–in addition to EMR and survey software on a daily basis.

• Please note that members of this team who live within 45 minutes of a Charlie Health office are expected to adhere to a hybrid work schedule.

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits [here](https://www.charliehealth.com/careers/behavioral-health-operations#benefits).HYBRID

### Our Values

• Connection: Care deeply & inspire hope.

• Congruence: Stay curious & heed the evidence.

• Commitment: Act with urgency & don’t give up.

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