Payment Reconciliation Manager - ERA Expert

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Payment-posting & Reconciliation Manager
Type: Contract
Compensation: $85/hour
Location: Remote

Role 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 to ensure accuracy.
• 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.

Qualifications

Must-Have

• 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 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.

Preferred

• 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 operations with multi-payer complexity.
• Familiarity with AI tools and comfort evaluating AI-generated remittance and payment content.
• Experience developing cash posting SOPs and internal control frameworks.

Application Process (Takes 20–30 mins to complete)

• Upload resume
• AI interview based on your resume
• Submit form

Resources & Support

• For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
• For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.