Payment-posting & Reconciliation Manager

$85/hrrate as listed

Review AI-generated payment postings, ERA/835 matching decisions, and reconciliation outputs against the standards you'd apply in a live cash posting operation. Mercor places this work with an AI research lab building revenue cycle automation; observed pay is around $85/hr on contract, project-dependent.

Summary, eligibility guidance and screening preparation are prepared by Sidequest from the platform's posting. Check the source listing before applying.

What the work involves

You'll be handed AI outputs drawn from realistic revenue cycle scenarios — an 835 file parsed into posting transactions, an EOB interpreted into line-level allowances and patient responsibility, a lockbox batch reconciled against a bank deposit — and asked to judge whether the model got it right. That means checking whether CARC/RARC codes were applied to the correct service lines, whether a takeback or offset was handled as a reversal rather than a new adjustment, whether contractual write-offs were split correctly from denials, and whether unapplied cash was flagged instead of force-posted. Where the output is wrong, you write the correction and the reasoning behind it: not just "this is misposted" but which payer methodology or remittance convention the model missed.

A second stream of work is authoring scenarios. Labs need cases that break naive automation — split remits across two deposits, a payer recoupment netted against unrelated claims, a secondary payer posting where the primary allowed amount is inconsistent, an EOB with a bundled payment across multiple CPT lines. Managers who have built posting SOPs and variance controls tend to produce the most useful material here.

What the screen looks for

Mercor's process is AI-led: a recorded conversational interview, resume verification, and often a short work sample. The interviewer probes depth rather than breadth — expect follow-ups on specific adjustment reason codes, how you'd trace a reconciliation variance, and what your unapplied cash aging thresholds were. Vague process descriptions get pressed. Reviewers also assess written feedback quality, since annotation rationale is the actual deliverable; if you can't explain a posting error clearly in two sentences, the work doesn't transfer.

Logistics

Fully remote, contractor engagement, async in practice with occasional calibration calls
Typical commitments range from 10–20 hours weekly; some projects scale up during active data collection windows
Work is task-batched, so hours are self-scheduled against deadlines rather than fixed shifts
Pay bands observed in this category cluster near $85/hr but vary by project, seniority, and whether you're reviewing or authoring

What they look for

5+ years in cash posting, payment reconciliation, or revenue cycle operations, including 2+ years managing a team
Deep working knowledge of ERA/835 processing, EOB interpretation, and remittance adjustment reason codes (CARC/RARC)
Lockbox and bank deposit reconciliation experience across multiple payers and payment types
Hands-on proficiency with Epic, Athenahealth, or an equivalent billing and posting platform
Clear written English — you'll be documenting why an AI output is wrong, not just flagging it
CRCR, CPC, or CHFP certification (preferred, not required)

Before you apply

Would you pass this screen?

Drawn from what this listing actually requires. Answered in your browser — nothing is sent to us, and we do not store your answers.

Do you have at least 5 years of professional experience in cash posting, payment reconciliation, or revenue cycle operations?
Years in cash posting or revenue cycle operations · required
Have you held a management or supervisory role overseeing cash posting or payment reconciliation operations for at least 2 years?
Management experience in cash posting · required
Do you have hands-on experience processing electronic remittance advice (ERA/835) files and interpreting explanation of benefits (EOB) documents in a posting or reconciliation context?
ERA/835 and EOB expertise · required
Do you have working proficiency with a major billing or payment posting system such as Epic, Athenahealth, or equivalent platform?
Billing system proficiency · required
Do you hold a current CRCR, CPC, or CHFP certification, or equivalent healthcare billing/coding credential?
Certification in healthcare revenue cycle · preferred

0 of 5 answered

Included with this listing

Interview prep — 10 questions

Matched to what this platform's screening actually measures. Answer each out loud in 60–90 seconds: claim → concrete example → implication.

What it tests: Whether the candidate has actually run a material payment posting operation at scale, not just participated in one—the numbers tell you if they managed complexity or handled routine transactions.
A strong answer: A concrete operational snapshot: specific number of payers (ideally 10+), monthly volume in dollars or transaction count, and a named unapplied balance target or actual figure they tracked—demonstrates hands-on P&L accountability.
Where people lose it: Vague answers like 'high volume' or 'many payers' without numbers, or describing someone else's metrics as their own. Also missing the unapplied cash metric entirely—that's the central KPI and omitting it signals they didn't own reconciliation.