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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Skills Required
- 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)
- Bachelor's degree preferred in Healthcare Administration, Accounting, Finance, or related field; relevant experience may substitute for formal education
What the Team is Saying
RethinkFirst Compensation & Benefits Highlights
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Healthcare Strength — Comprehensive medical, dental, and vision coverage is paired with mental health resources, an EAP, and access to RethinkCare for employees plus several family or friends. This breadth indicates a wellbeing‑forward healthcare offering.
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Leave & Time Off Breadth — Generous PTO, paid sick/safe time, and paid holidays are prominently offered, with flexible time‑off structures referenced in multiple places. These policies are positioned to support healthy work/life balance.
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Parental & Family Support — Paid parental leave and family medical leave are included, alongside additional paid leave in some materials. RethinkCare’s caregiver resources further bolster support for families.
RethinkFirst Insights
What We Do
Rethink aims to provide families, educators and behavior healthcare providers affordable, best practice treatment solutions for children with special needs. Rethink is unique in our foot-print offering clinical support, best-practice tools, and research-based content via technology to all market segments, reaching more children with special needs than any other solution. Our platform supports curriculum planning, professional development, parent training, and tracking of student progress. Through video and online tools, we bring to life best practice teaching, treatment, and intervention strategies that help educators, parents, and clinicians personalize instruction for every child. The Rethink program is currently being used by employers, the US Department of Defense, Managed Care, Medicaid, federal, state and social service agencies, public school districts, and families nation- and worldwide.
Why Work With Us
Together, we’re a team of passionate, talented and motivated people working every day to help others live healthier, happier and more productive lives. Individually, we’re an incredibly diverse group of people who respect each other, celebrate our differences and unique talents and enjoy meeting new friends and colleagues along the way.
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RethinkFirst Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
RethinkFirst offers employees the opportunity to work remotely from the comfort of their home with occasional visits to the office in our beautiful Chelsea-based NYC office. Some roles have specific requirements around travel and in-office needs.
