Payment Posting & Reconciliation Manager
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Job Description
Cash Posting Manager evaluating ERA, EOB, and reconciliation AI outputs for Mercor’s healthcare AI partners. Annotating results to improve next-generation revenue-cycle systems.
Responsibilities:
- Oversee cash posting and payment reconciliation operations, including ERA/835 processing, manual EOB posting, and lockbox reconciliation
- Evaluate AI-generated payment posting outputs, ERA matching recommendations, and reconciliation reports for accuracy and completeness
- Manage electronic and manual payment posting workflows across multiple payers and payment types
- Reconcile posted payments against bank deposits, lockbox reports, and payer remittances
- Identify and resolve posting errors, misapplied payments, and unapplied cash
- Monitor cash posting KPIs, including posting accuracy rates, days to post, unapplied cash balances, and reconciliation variance
- Collaborate with billing, A/R, and finance teams to resolve payment discrepancies and ensure timely cash close
- Ensure compliance with internal controls, HIPAA, and audit requirements for cash handling
- Annotate AI outputs and provide structured feedback to support AI training datasets
Requirements:
- 5+ years of experience in cash posting, payment reconciliation, or revenue cycle operations
- At least 2 years in a management role
- Deep knowledge of ERA/835 electronic remittance processing, EOB interpretation, and lockbox reconciliation
- Strong understanding of payer payment methodologies and remittance adjustment reason codes
- Experience managing high-volume payment posting operations across multiple payers
- Proficiency with billing systems and payment posting platforms (Epic, Athenahealth, or equivalent)
- Exceptional written and verbal English communication skills
- High attention to detail with the ability to identify posting errors and discrepancies in AI-generated payment outputs
- CRCR, CPC, or CHFP certification preferred
- Experience with automated ERA posting platforms and RPA-driven cash posting solutions preferred
- Background in hospital or physician group cash posting operations with multi-payer complexity preferred
- Familiarity with AI tools and comfort evaluating AI-generated remittance and payment content preferred
- Experience developing cash posting SOPs and internal control frameworks preferred
- Must be able to work in the USA
- Mercor is unable to support H1-B or STEM OPT candidates at this time
Benefits:
- Fully remote role
- Work on your own schedule
- Projects can be extended, shortened, or concluded early depending on needs and performance
- Weekly payments on Stripe or Wise based on services rendered
- Contribute to the development of frontier AI systems in healthcare
- Collaborate with a world-class AI research organisation
- Gain exposure to cutting-edge AI workflows in payment reconciliation and revenue cycle management
- Opportunity to work on high-impact projects shaping the future of healthcare AI
- Referral opportunity earning up to $340 per successful referral
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