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Accounts Receivable Representative

Technology Consulting, Inc.

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
Vacancy posted 3 days ago
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