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Reconciliation Specialist

Job in Berry Hill, Davidson County, Tennessee, USA
Listing for: Charlie Health
Full Time position
Listed on 2026-01-11
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 45000 - 52500 USD Yearly USD 45000.00 52500.00 YEAR
Job Description & How to Apply Below
Location: Berry Hill

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, and 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 increase access to mental healthcare and 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. 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
Requirements
  • 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 Nex Gen 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
  • Able to work a hybrid schedule of 4 days per week in our Nashville office and located within 75 minutes' commuting distance of the office
Benefits

Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.

Additional Information

Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota.

The expected base pay for this role will be between $45,000 and $52,500 per year at the commencement of employment. However, base pay will be determined on an individualized basis and will be impacted by location and years of experience. Further, base pay is only part of the total compensation package, which, depending on the position, may also include incentive…

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