Payment Posting & Reconciliation Mgr at Mercor

Payment Posting & Reconciliation Manager | $85/hr | Worldwide Remote

Mercor is partnering with a leading AI research lab to advance next-generation AI systems in healthcare. We are seeking an experienced Cash Posting and Payment Reconciliation Manager to evaluate AI tools designed to automate electronic remittance processing, payment posting, and cash reconciliation workflows. Your expertise will directly shape AI systems that improve cash posting accuracy and accelerate revenue cycle close.

Key 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 HIPAA, internal controls, 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, with 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 such as Epic, Athenahealth, or equivalent platforms.
• Exceptional written and verbal English communication skills.
• High attention to detail with the ability to identify errors in AI-generated payment outputs.

Preferred Qualifications

• CRCR, CPC, or CHFP certification.
• Experience with automated ERA posting platforms and RPA-driven cash posting solutions.
• Background in hospital or physician group cash posting with multi-payer complexity.
• Familiarity with AI tools and comfort evaluating AI-generated remittance content.
• Experience developing cash posting SOPs and internal control frameworks.

Why Join?

• Contribute to the development of frontier AI systems in healthcare.
• Collaborate with a world-class AI research organization.
• Gain exposure to cutting-edge AI workflows in payment reconciliation and revenue cycle management.
• Work on high-impact projects shaping the future of healthcare AI.