Job Description

TCI has an immediate need for an Accounts Receivable Representative in Nashville, TN. This is a contract opportunity (not available for C2C).

Note: This position requires US Citizenship and will be 3 days in office/2 days remote

Experience & Knowledge

• 3–5 years of experience in healthcare payment posting (manual and electronic)
• Strong knowledge of EOBs, EFTs, ERAs, COB, and 835 file interpretation
• Deep understanding of payer rules (Medicare, Medicaid, Commercial, Workers' Comp)
• Familiarity with contractual adjustments, proration logic, and secondary/tertiary payment rules
• Prior experience with complex denial resolutions and reconciliation of unapplied payments
• Knowledge of accounting principles related to revenue cycle and payment reconciliation
• Comfortable working in Interactant (HCS), WellSky, or other EMRs/payment posting systems

Skills & Abilities

• High attention to detail and accuracy in posting across multiple dates of service, payers, and accounts
• Ability to break down and allocate lump sum payments across multiple patient accounts
• Comfortable with researching payment variances and resolving discrepancies independently
• Excellent math and analytical skills to interpret remits and validate correct application
• Strong communication skills for collaborating with billers, collectors, and payers
• Ability to follow and suggest improvements to internal SOPs and workflows
• Ability to learn EMR Systems quickly and retain knowledge taught

Technical & System Requirements

• Proficiency with Excel and data reconciliation tools
• Experience using clearinghouses, payer portals, and lockbox files
• Ability to work with batch files, remittance advice matching, and custom posting rules
• Familiar with automated vs. manual posting environments, and when to escalate

Behavioral Traits

• Self-starter with strong problem-solving skills
• Ability to work under pressure and meet tight deadlines
• Strong sense of ownership and accountability
• Comfortable in a fast-paced, high-volume environment
• Detail-oriented and committed to data integrity

Preferred (Not Required)

• Previous experience in rehab, home health, or residential settings
• Exposure to payer audits and recoupments
• Basic understanding of contract modeling or reimbursement analytics

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