Cash Posting Specialist

ROM TECHNOLOGIES INC • Clearwater, FL

2d • $22 - $22 • Onsite

About The Position

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.

Requirements

• 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.
• High school diploma or equivalent.
• 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.
• Ability to sit at a computer terminal for an extended period.
• 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.

Nice To Haves

• 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.
• 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.
• Associate degree in Accounting, Finance, Healthcare Administration, Business Administration, or a related field.
• Relevant healthcare revenue cycle, billing, accounting, or finance-related certifications.

Responsibilities

• 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.

Benefits

• Competitive salary
• Opportunity to be part of a growing company
• Innovative technology
• Improving recovery outcomes
• Operational excellence

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED