Accounts Receivable Credit & Collections Specialist

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