[Hiring] Reconciliation Specialist REMOTE USA

Position: Reconciliation Specialist

Date Posted: December 22, 2025

Industry: Healthcare / Behavioral Health / Revenue Cycle Management

Employment Type: Full Time

Experience: 3-5 years

Qualification: Estimated Qualification: Bachelor’s Degree holder or relevant experience in healthcare revenue cycle/reconciliation

Location: Nashville, Tennessee, United States, REMOTE

Company: Charlie Health

Description:
Charlie Health, a leading provider of personalized, virtual behavioral health care, is seeking a dedicated Reconciliation Specialist to join their Nashville team. This role focuses on ensuring patient accounts are accurately billed, reimbursed, and reconciled, maintaining account balances at zero while navigating the full revenue cycle. The ideal candidate will have strong problem-solving abilities, attention to detail, and the capability to manage complex account reconciliations independently and collaboratively.

Responsibilities:
• Communicate effectively with internal teams, insurance companies, and patients to resolve account discrepancies
• Accurately post insurance and patient payments, ensuring correct allocation to patient accounts
• Reconcile accounts to confirm accuracy and resolve any discrepancies
• Identify and address account issues using problem-solving skills to develop effective solutions
• Organize and maintain information on caseloads for efficient workflow
• Maintain a clean and structured workspace to support timely completion of responsibilities

Requirements:
• 3-5 years of experience in cash posting and/or reconciliation of patient accounts
• Proficiency in Google Suite, Google Docs, and advanced Excel skills
• Experience with NexGen is a plus
• Ability to work independently and collaboratively within a team
• Meet deadlines and KPI expectations
• Experienced in navigating clearinghouses and insurance portals
• Proficiency with medical record technology
• Work authorized in the United States with native or bilingual English proficiency
• Comfortable using cloud-based tools like Slack, Zoom, Dropbox, Salesforce, in addition to EMR and survey software
• Hybrid work schedule expected for employees living within 45 minutes of a Charlie Health office

Benefits:
Charlie Health offers comprehensive benefits to all full-time, exempt employees, supporting a balanced work-life environment in a hybrid setting.

Values:
Connection: Care deeply & inspire hope
Congruence: Stay curious & heed the evidence
Commitment: Act with urgency & don’t give up

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