Payment Reconciliation Manager - ERA Expert

Obsidian; New York (NY); On-site; USD 80,000 - 100,000; Full time

Job summary

Obsidian is seeking experienced Cash Posting and Payment Reconciliation Managers to enhance AI-driven electronic remittance processes in healthcare. You’ll oversee cash posting operations, evaluate AI outputs, and resolve payment discrepancies.

The ideal candidate has over 5 years of relevant experience, deep knowledge of ERA processing, and exceptional English communication skills. Join us to impact the future of AI in healthcare.

Qualifications

• 5+ years of experience in cash posting or revenue cycle operations.
• Deep knowledge of ERA/835 processing and EOB interpretation.
• Experience in managing high-volume payment posting operations.

Responsibilities

• Oversee cash posting and payment reconciliation operations.
• Evaluate payment posting outputs for accuracy and completeness.
• Collaborate with finance teams on payment discrepancies.

Skills

ERA processing

EOB interpretation

Payment reconciliation

Attention to detail

English communication

Education

5+ years in cash posting/payment reconciliation

Management experience

Tools

Epic

Athenahealth

Job description

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Cash Posting and Payment Reconciliation Managers to evaluate AI tools designed to automate electronic remittance processing, payment posting, and cash reconciliation workflows. Your expertise in ERA processing, EOB interpretation, and payment reconciliation will directly inform AI systems that improve cash posting accuracy and accelerate revenue cycle close.

Responsibilities

• Oversee cash posting and payment reconciliation operations, including electronic remittance advice (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.

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 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 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 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.

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.
• Opportunity to work on high-impact projects shaping the future of healthcare AI.