Director of Cash Reconciliation
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Job Description
Director of Cash Reconciliation at RethinkFirst responsible for payment posting and reconciliation processes. Ensuring financial accuracy and integrity across the revenue cycle while managing teams.
Responsibilities:
- 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
Requirements:
- Bachelor’s degree preferred in Healthcare Administration, Accounting, Finance, or related field; relevant experience may substitute for formal education
- 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
Benefits:
- Flexible work arrangements
- Professional and collaborative environment
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