Cash Posting Specialist - Fully Remote | Upto $85/hr

Role Responsibilities

• Oversight of cash posting and payment reconciliation operations, including ERA/835 processing, manual EOB posting, and lockbox reconciliation.
• Evaluation of AI-generated payment posting outputs, ERA matching recommendations, and reconciliation reports for accuracy and completeness.
• Management of electronic and manual payment posting workflows across multiple payers and payment types.
• Reconciliation of posted payments against bank deposits, lockbox reports, and payer remittances to ensure accuracy.
• Identification and resolution of posting errors, misapplied payments, and unapplied cash.
• Maintenance of cash posting KPIs, including posting accuracy rates, days to post, unapplied cash balances, and reconciliation variance.
• Collaboration with billing, A/R, and finance teams to resolve payment discrepancies and ensure timely cash close.
• Ensuring compliance with internal controls, HIPAA, and audit requirements for cash handling.
• Annotating AI outputs and providing structured feedback to support AI training datasets.

Qualifications

• At least 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 with high attention to detail.
• 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.