Cash Posting Specialist

At ROMTech we are committed to building a high-performing team that advances our mission of improving recovery outcomes through innovative technology and operational excellence. We value accountability collaboration continuous improvement and a patient-centered approach in everything we do.

ROMTech is a medical technology company that has created and patented a revolutionary medical device and telemedical platform which delivers in-home rehabilitative care. Our disruptive technology has proven to yield faster recoveries and better outcomes with unmatched patient compliance. We began in orthopedics and have entered scale-up of our orthopedic business. We are now leveraging our core technology infrastructure and first mover position to enter cardiology followed by other adjacent markets. Having created this new lane we have a unique opportunity to serve as the global leader in the business technology and science of recovery and to bring life-changing help to many millions of people.

Cash Posting Specialist

Revenue Cycle Management

Cash Posting Manager

Onsite Clearwater FL

W2 Employee

Non-Exempt

Standard

The Cash Posting Specialist is responsible for accurately posting reconciling and auditing insurance and patient payments across multiple business entities to support efficient revenue cycle operations. This role ensures payments are applied accurately and timely using Explanation of Benefits (EOBs) Electronic Remittance Advice (ERA) bank lockbox files and internal billing systems. The position supports organizational financial integrity through payment reconciliation discrepancy resolution audit support and collaboration with Revenue Cycle Finance and operational teams to ensure accurate cash application and compliance with applicable billing and documentation standards.

• Post insurance and patient payments accurately and timely across multiple DME entities ensuring payments are applied to the correct entity patient account and claim.
• Apply payments and adjustments based on EOBs and ERAs including contractual allowances deductibles coinsurance amounts refunds and recoupments.
• Balance daily cash activity by entity and reconcile postings to bank deposits and lockbox totals.
• Identify and resolve unapplied cash misapplied payments posting discrepancies and reconciliation variances.

• Process and review daily bank lockbox files for insurance and patient payments.
• Reconcile lockbox transactions to billing system postings by entity.
• Investigate and correct discrepancies between bank records lockbox files remittance documentation and system entries.

• Accurately enter payment data into billing accounting and tracking systems while maintaining proper entity segregation.
• Maintain detailed documentation supporting payment posting activity for audit and compliance purposes.
• Ensure remittance information is properly indexed stored and accessible according to established documentation standards.

• Perform routine and ad hoc audits of payment posting accuracy across assigned entities.
• Support external vendors by validating payment posting activity providing documentation and reviewing reconciliation results.
• Assist with internal audits external reviews and cash variance investigations.
• Identify recurring posting errors trends or process gaps and escalate findings to leadership.

• Collaborate with Billing Accounts Receivable Customer Service Finance and leadership teams to resolve payment posting issues.
• Communicate payment discrepancies and reconciliation concerns clearly and promptly.
• Coordinate with banking partners and external vendors regarding lockbox remittance and payment processing matters.
• Adhere to all cash handling data integrity confidentiality and HIPAA compliance requirements.

• Assist with process improvement initiatives related to payment posting and reconciliation workflows.
• Support reporting and documentation requests as needed.
• Participate in departmental meetings training activities and continuous improvement initiatives.
• Performs other related duties as assigned to support operational and business needs.

• Strong payment posting reconciliation and data entry skills.
• High attention to detail and accuracy.
• Ability to identify investigate and resolve payment discrepancies.
• Strong organizational and time management skills.
• Ability to manage high-volume workloads while maintaining accuracy.
• Effective verbal and written communication skills.
• Proficiency using billing systems payment posting systems and Microsoft Office applications.
• Understanding of HIPAA confidentiality and data integrity requirements.

• Knowledge of Medicare Medicaid and commercial insurance remittance structures.
• Familiarity with DME reimbursement and billing workflows.
• Experience working with external billing lockbox or audit vendors.
• Experience with Brightree AdvancedMD or similar healthcare billing platforms.

• One (1) to three (3) years of cash posting payment processing accounts receivable support or related financial operations experience.
• Demonstrated experience posting insurance payments patient payments lockbox payments ERAs and EOBs.
• Experience performing reconciliations and resolving posting discrepancies.

• Experience in a Durable Medical Equipment (DME) home healthcare or healthcare revenue cycle environment.
• Experience supporting multi-entity healthcare organizations.
• Experience working with external vendors performing billing reconciliation or audit functions.

• High school diploma or equivalent.

• Associate degree in Accounting Finance Healthcare Administration Business Administration or a related field.

• None.

• Relevant healthcare revenue cycle billing accounting or finance-related certifications.

The following describes the physical demands and work environment characteristics required to perform the essential functions of this position. These requirements are representative of those an employee may encounter while performing the job and are not intended to be an exhaustive list. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the role.

• Ability to sit at a computer terminal for an extended period.
• Moderate noise (i.e. phone calls online meetings computer audio).
• While performing the duties of this job the employee may be regularly required to stand sit talk hear reach stoop kneel and use hands and fingers to operate a computer telephone and keyboard.
• Specific vision abilities required by this job include close vision requirements due to computer work.
• Regular predictable attendance is required.
• Must be able to communicate clearly and professionally in both verbal and written formats.
• Must be able to engage in active listening and express ideas effectively in person by phone and via virtual meetings.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Reasonable accommodation requests must be made in writing by emailing