Cash Specialist

Position: Cash Posting Specialist
JOB DESCRIPTION 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.

Position Title:

Cash Posting Specialist Department:

Revenue Cycle Management

Reports To:

Cash Posting Manager Location / Work Environment:

Onsite, Clearwater, FLWorker Classification:

W2 EmployeeFLSA Status:

Non-Exempt Job Level, if applicable:

Standard Job Purpose 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.

Key Responsibilities Essential Duties Payment Posting & Multi-Entity Reconciliation 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.

Lockbox & Bank Processing 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.

Data Entry & Documentation 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.

Audits & External Vendor Support 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.

Communication & Collaboration Collaborate with Billing, Accounts Receivable, Customer…