Reconciliation Specialist

Posted 3.14.24
Nashville, TN

Why Charlie Health?

Young people across the nation are grappling with a mental health crisis characterized by escalating rates of depression, anxiety, trauma, substance use disorders, and suicide. Individuals who seek support are met by geographical and financial barriers, driving increased urgency for a new approach to behavioral health treatment.

At Charlie Health, our mission is to connect the world to life-saving mental health treatment. Our treatment programs combine curated peer groups, individual therapy, and family therapy into personalized, evidence-based treatment plans to provide long-term healing from home. By prioritizing connections among young people with shared mental health experiences and goals, Charlie Health fosters sustainable healing and achieves industry-leading clinical outcomes, with over 90% of our clients seeing improvement in their most severe mental health symptoms.

Every member of the Charlie Health team is fueled by an unwavering passion for our mission. If you share this commitment, we invite you to join us in making a tangible impact on the mental health landscape.

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.


  • 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 specialsts 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. Posting Reconciliation specialists use their problem-solving skills to identify account issues and develop strategies to resolve them. 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


  • 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 NexGen 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


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

Additional Information

Note: We are not currently considering applicants in CA, CO, NY, and WA for this position. #LI-HYBRID

Our Values

  • Connection
    • Care deeply
      • We care personally about every single person in the Charlie Health ecosystem: our clients, providers, and team members alike.
    • Inspire hope
      • We inspire hope with every interaction, reminding our clients that we truly and unconditionally believe in them.
  • Congruence
    • Stay curious
      • We ask “why” five times before we’re satisfied with the answer. We don’t stick to the status quo; we challenge our assumptions and remain humble.
    • Heed the evidence
      • Above all, we’re results-oriented. When we find data that calls our original plan into question, we modify or pivot.
  • Commitment
    • Act with urgency
      • We work as swiftly as possible. The mental health crisis is relentless, and so are we.
    • Don’t give up
      • Our clients don’t give up and neither do we. Persistence is our superpower.


Please do not call our public clinical admissions line in regard to this or any other job posting.

Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from email addresses. Legitimate emails will never originate from,, or other commercial email services.

Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals.

At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.

Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.

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