RCM Payment Reconciliation Specialist
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The RCM Payment Reconciliation Specialist ensures accurate tracking, posting, and matching of all healthcare financial transactions across clinical systems, electronic remittance advices (ERAs), paper Explanation of Benefits (EOBs), and bank deposits.
Key Responsibilities:
Payment Reconciliation: Reconcile ERAs, EOBs, and patient payments against bank account transactions.
Variance and Discrepancy Resolution: Research and resolve unposted cash, partial payments, contractual allowances, underpayments, write-offs, and unapplied balance accounts.
Payer and Patient Escalations: Work with payers on missing payments and resissuance of payments; collaborate with stakeholders to obtain check payments incorrectly issued to clinics and/or patients.
Reporting and Collaboration: Generate daily, weekly, and month-end reconciliation reports, tracking key performance metrics (e.g., aging unposted cash, posting turnaround times) for RCM and finance leadership.
Additional Responsibilities: Adapt and take on evolving responsibilities and projects as Finni Health grows and the RCM landscape changes.
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Finni Health
View Company ProfileFinni Health (operating under finnihealth.com) is the premier, enterprise-grade provider-centric autism care platform, clinical workflow innovator, and behavioral health infrastructure pioneer engineered to operate as the definitive, high-velocity practice management and insurance orchestration layer for independent Applied Behavior Analysis (ABA) therapists across North America. The company completely eliminates the severe systemic friction of modern autism care delivery—where passionate Board Certified Behavior Analysts (BCBAs) face immense administrative burdens, complex multi-state insurance credentialing backlogs, fragmented patient billing structures, and high upfront costs to start standalone clinics—by deploying a unified, full-stack practice enablement ecosystem. Moving far beyond traditional, passive healthcare databases or rigid electronic medical record systems, Finni Health natively unifies rapid 2-week practice launch frameworks, direct insurance contracting networks, automated smart scheduling, and real-time patient progress tracking into its custom operational application workspace. Backed by Y Combinator (W23) and elite healthcare institutional venture capitalists like General Catalyst, the platform empowers individual providers to break free from corporate private-equity constraints, transition to independent business owners in as little as 30 days, and deliver highly personalized, in-home or in-clinic behavioral care with production-hardened precision. Under the hood, its sophisticated technical core processes automated multi-tenant scheduling calendars, secure document signing modules, and automated revenue cycle management pipelines that reduce time-to-payment while supporting families with intuitive progress analytics. What sets Finni Health apart is its uncompromising dedication to replacing administrative healthcare overhead with absolute provider autonomy and patient impact; by bridging the gap between performance-intensive insurance infrastructure and front-line compassionate therapy, the firm remains the definitive cornerstone of modern algorithmic behavioral health deployment and distributed practice acceleration.
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