Cash Posting and Payment Reconciliation Manager for AI Evaluation

Validate and improve AI-driven payment posting and cash reconciliation workflows by applying hands-on expertise in ERA/835 processing, EOB interpretation, lockbox reconciliation, and high-volume payer operations. The role evaluates AI outputs that propose electronic remittance matches, posted payments, and reconciliation reports, and provides structured annotations and feedback to improve cash posting accuracy and accelerate revenue cycle close.

• 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, and identify discrepancies.
• 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 posting 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, accounts receivable, 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 and model improvement.

• 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, for example Epic, Athenahealth, or equivalent systems.
• 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.
• Experience with automated ERA posting platforms and robotic process automation 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 standard operating procedures and internal control frameworks.

• Location: Remote.
• Employment type: hourly.

85 - 85 hourly

• Contribute to the development of advanced AI systems applied to healthcare revenue cycle operations.
• Work directly with researchers on cutting-edge AI workflows for payment reconciliation and cash posting.
• Gain exposure to AI-driven solutions that can shape the efficiency and accuracy of healthcare cash management.