Payment Posting & Reconciliation Manager | Remote

Key Responsibilities

• Oversee end-to-end cash posting operations spanning ERA/835 electronic remittance processing, manual EOB posting, and lockbox reconciliation across multiple payers and payment types
• Evaluate LLM-generated payment posting outputs, ERA matching recommendations, and reconciliation reports, providing structured annotation and feedback to support model training datasets
• Reconcile posted payments against bank deposits, lockbox reports, and payer remittances, resolving posting errors, misapplied payments, and unapplied cash
• Monitor cash posting KPIs — including posting accuracy rates, days to post, unapplied cash balances, and reconciliation variance — to maintain operational integrity
• Partner with billing, A/R, and finance teams to resolve payment discrepancies and ensure timely cash close
• Ensure cash handling procedures remain compliant with internal controls, HIPAA requirements, and audit standards

Core Requirements

• Demonstrated management experience in cash posting, payment reconciliation, or revenue cycle operations
• Deep technical knowledge of ERA/835 electronic remittance processing, EOB interpretation, and remittance adjustment reason codes
• Prior experience managing high-volume payment posting workflows across multi-payer environments with accuracy and consistency
• Hands-on proficiency with billing and payment posting platforms such as Epic, Athenahealth, or equivalent systems
• Exceptional written and verbal English communication skills with the ability to deliver precise, structured written feedback
• High analytical acuity in identifying discrepancies and posting errors within automation-generated outputs

Additional Strengths

• CRCR, CPC, or CHFP certification, or equivalent professional credential in revenue cycle management
• Prior experience developing cash posting SOPs and internal control frameworks within hospital or physician group settings
• Background working with automated ERA posting platforms or RPA-driven cash posting solutions