Payment-posting & Reconciliation Manager

Role Overview

Mercor is partnering with a leading AI research laboratory to improve next-generation AI systems used in healthcare payment posting, cash reconciliation, and revenue cycle operations.

The organization is seeking experienced Payment Posting and Reconciliation Managers to evaluate and improve AI tools designed to automate ERA processing, EOB interpretation, payment posting accuracy, and cash reconciliation workflows.

This role combines expertise in electronic remittance processing, payment posting operations, reconciliation workflows, revenue cycle controls, and AI evaluation to help shape advanced healthcare financial systems.

Responsibilities

Cash Posting Operations

• Oversee cash posting and payment reconciliation workflows including:

  • ERA (835) processing
  • Manual EOB posting
  • Lockbox reconciliation
  • Electronic and manual payment posting

• Ensure accurate and timely posting of all incoming payments

AI Evaluation & Quality Review

• Evaluate AI-generated:

  • Payment posting outputs
  • ERA matching recommendations
  • Reconciliation reports
  • Cash posting automation results

• Assess outputs for:

  • Accuracy
  • Completeness
  • Financial correctness
  • Operational reliability

• Annotate AI outputs and provide structured feedback for AI training datasets

Reconciliation Management

• Reconcile payments against:

  • Bank deposits
  • Lockbox reports
  • Payer remittance files

• Identify and resolve:

  • Posting errors
  • Misapplied payments
  • Unapplied cash balances
  • Reconciliation variances

Performance Monitoring

Monitor KPIs including:

• Posting accuracy rates
• Days to post payments
• Unapplied cash balances
• Reconciliation variance levels
• Payment processing efficiency

Cross-Functional Collaboration

• Collaborate with billing teams, accounts receivable teams, and finance departments
• Resolve payment discrepancies and ensure timely cash close processes

Compliance & Controls

• Ensure compliance with internal financial controls, HIPAA requirements, audit standards for cash handling, and revenue cycle governance policies

Process Improvement

• Develop and maintain cash posting SOPs, reconciliation workflows, and internal control frameworks
• Support automation initiatives for payment posting

Requirements

Experience

• 5+ years of experience in cash posting, payment reconciliation, and revenue cycle operations
• Minimum 2 years in a management role

Technical Expertise

Deep knowledge of:

• ERA (835) electronic remittance processing
• EOB interpretation
• Lockbox reconciliation
• Payment adjustment reason codes
• Payer remittance workflows

Revenue Cycle Knowledge

• Multi-payer payment posting operations
• Healthcare reimbursement processes
• Billing system reconciliation workflows

Technology Experience

• Epic, Athenahealth, payment posting systems, revenue cycle platforms, RPA-enabled posting tools

Additional Requirements

• Exceptional written and verbal English communication
• Strong analytical skills and high attention to detail
• Ability to identify posting errors, reconciliation discrepancies, financial inconsistencies, and AI output inaccuracies

Preferred Qualifications

• CRCR, CPC, or CHFP certification
• Experience with automated ERA posting platforms, RPA-driven cash posting solutions
• Hospital or physician group finance operations experience
• Experience with AI-assisted reconciliation systems

Contract & Payment Terms

• Independent contractor engagement
• Fully remote work
• Flexible schedule
• Weekly payments via Stripe or Wise

Important Note

Mercor currently cannot support H1-B or STEM OPT candidates.

About Mercor

Mercor partners with leading AI laboratories and enterprises to train and improve advanced AI systems using human expertise.