Reconciliation Specialist

Company: Charlie Health Behavioral Health Operations
Location: Nashville
Posted on: April 1, 2026

Job Description:

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 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 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 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 Benefits Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here . Additional Information 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 compensation, discretionary bonuses, other short and long-term incentive packages, and other Charlie Health-sponsored benefits. LI-HYBRID Our Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don’t give up. 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: https://www.charliehealth.com/careers/current-openings. 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 @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, 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. By clicking "Submit application" below, you agree to Charlie Health's and Terms of Service. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

Keywords: Charlie Health Behavioral Health Operations, Hendersonville , Reconciliation Specialist, Accounting, Auditing , Nashville, Tennessee