Hybrid AR Specialist — Payment Posting

System One; Nashville (TN); Hybrid; USD 25,000 - 33,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Spending accounts

Life insurance

Voluntary plans

401(k) plan

Job summary

System One is seeking an Accounts Receivable Representative III in Nashville, TN, for a contract role with a hybrid onsite/remote work model. The candidate will handle healthcare payment posting, denial resolution, and reconciliation, leveraging EMR systems and payer rules.

Strong Excel and data reconciliation skills are required to ensure accurate posting and timely cash application. The position demands 3-5 years of industry experience, attention to detail, and the ability to work under

Qualifications

• 3-5 years of experience in healthcare payment posting.
• Deep understanding of payer rules and medical billing systems.
• Strong attention to detail and accuracy in data entry and reconciliation.
• Ability to break down and allocate lump sum payments across multiple accounts.
• Excellent analytical skills in interpreting remits and validating applications.
• Proficient in Excel and data reconciliation tools.
• Experience with payer portals, clearinghouses, and lockbox files.
• Familiarity with automated vs. manual posting environments and escalation procedures.
• Self-starter with problem-solving skills and the ability to work under pressure.
• Strong ownership and accountability for assigned tasks.
• Adaptable in a fast-paced, high-volume setting.

Responsibilities

• Demonstrate 3-5 years of experience in healthcare payment posting.
• Exhibit strong knowledge of EOBs, EFTs, ERAs, COB, and 835 file interpretation.
• Understand payer rules for Medicare, Medicaid, Commercial, and Workers' Compensation.
• Manage contractual adjustments, proration logic, and secondary/tertiary payment rules.
• Resolve complex denials and reconcile unapplied payments with accuracy.
• Apply accounting principles related to revenue cycle and payment reconciliation.
• Work proficiently within payment posting systems such as Interactant (HCS), WellSky, or similar EMRs.
• Research payment variances and resolve discrepancies independently.
• Collaborate effectively with billers, collectors, and payers through strong communication skills.
• Follow and improve internal SOPs and workflows.
• Quickly learn and retain knowledge of EMR systems and related processes.

Skills

Healthcare payment posting

Analytical skills

Excel

Data reconciliation

Communication

Tools

Interactant (HCS)

WellSky

EMR systems

Payer portals

Clearinghouses

Job description

System One is seeking an Accounts Receivable Representative III in Nashville, TN, for a contract role with a hybrid onsite/remote work model. The candidate will handle healthcare payment posting, denial resolution, and reconciliation, leveraging EMR systems and payer rules.

Strong Excel and data reconciliation skills are required to ensure accurate posting and timely cash application. The position demands 3-5 years of industry experience, attention to detail, and the ability to work under