Cash Posting Specialist

ROMTech; Clearwater (FL); On-site; USD 42,000 - 54,000; Full time

Job summary

ROMTech, based in Clearwater, FL, is seeking a Cash Posting Specialist to support revenue cycle operations onsite. You will post and reconcile payments, ensure accurate cash application, and assist with audits and vendor support in a fast-paced healthcare tech environment.

The role requires 1–3 years in cash posting or AR support, knowledge of EOB/ERA handling, and the ability to work across multiple entities. A high school diploma is required; associates degree preferred.

Qualifications

• Strong payment posting, reconciliation, and data entry skills.
• High attention to detail and accuracy.
• Ability to identify, investigate, and resolve payment discrepancies.
• Effective verbal and written communication skills.

Responsibilities

• Post insurance and patient payments across multiple DME entities.
• Apply payments/adjustments per EOBs/ERAs including allowances and refunds.
• Balance daily cash activity and reconcile to deposits and lockbox totals.
• Process daily bank lockbox files and reconcile with billing system postings.
• Enter payment data accurately and maintain audit documentation.
• Support audits and external vendors with payment posting validation.
• Collaborate with Billing, AR, Finance, and leadership to resolve issues.
• Adhere to HIPAA confidentiality and data integrity requirements.

Skills

Payment posting

Reconciliation

Data entry

Attention to detail

Organizational skills

Time management

Communication skills

HIPAA compliance

Education

High school diploma

Associate degree (preferred)

Tools

Microsoft Office

Brightree

AdvancedMD

Job description

JOB DESCRIPTIONAt 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.Position Title:Cash Posting SpecialistDepartment:Revenue Cycle ManagementReports To:Cash Posting ManagerLocation / Work Environment:Onsite, Clearwater, FLWorker Classification:W2 EmployeeFLSA Status:Non-ExemptJob Level, if applicable:StandardJob PurposeThe 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.Key ResponsibilitiesEssential DutiesPayment Posting & Multi-Entity ReconciliationPost 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.Lockbox & Bank ProcessingProcess 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.Data Entry & DocumentationAccurately 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.Audits & External Vendor SupportPerform 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.Communication & CollaborationCollaborate 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.Other FunctionsAssist 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.JOB QUALIFICATIONSSkills and AbilitiesRequired: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.Preferred: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.Work Experience RequirementsRequired: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.Preferred: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.Education RequirementsRequired:High school diploma or equivalent.Preferred:Associate degree in Accounting, Finance, Healthcare Administration, Business Administration, or a related field.License and Certification RequirementsRequired:None.Preferred:Relevant healthcare revenue cycle, billing, accounting, or finance-related certifications.Physical Demands and Working ConditionsThe 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 [e-mail].