Cash Posting Specialist

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.

Job Summary

The Cash Poster is responsible for accurately posting and reconciling insurance and patient payments for a Durable Medical Equipment (DME) organization operating across three separate entities. This role manages high-volume cash posting activities using bank lockbox files, Explanation of Benefits (EOBs), and Electronic Remittance Advice (ERA). The Cash Poster also performs audit support, reconciliation, and variance resolution while ensuring payments are correctly applied to the appropriate entity and patient account. Other duties as assigned.

Key Responsibilities

Payment Posting & Multi-Entity Reconciliation

• Post insurance and patient payments accurately and timely for three separate DME entities, ensuring payments are applied to the correct entity, patient, and claim.
• Apply payments and adjustments based on EOBs and ERAs, including contractual allowances, deductibles, coinsurance, 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, and posting discrepancies across entities.

Lockbox & Bank Processing

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

Data Entry & Documentation

• Accurately enter payment data into billing, accounting, and tracking systems while maintaining proper entity separation.
• Maintain detailed documentation supporting all posted payments for audit and compliance purposes.
• Ensure remittance information is properly indexed, stored, and accessible for each entity.

Audits & External Vendor Support

• Perform routine and ad hoc audits of payment posting accuracy across all three entities.
• Support external vendors by validating payment posting, providing documentation, and reviewing reconciliation results.
• Assist with internal audits, external reviews, and cash variance analysis.
• Identify recurring posting issues or trends by entity and escalate findings to leadership.

Communication & Collaboration

• Collaborate with billing, accounts receivable, customer service, finance, and management teams to resolve posting-related issues.
• Communicate entity-specific discrepancies clearly and promptly.
• Coordinate with banks and external vendors regarding lockbox and remittance issues.
• Adhere to all cash handling, data integrity, and HIPAA compliance standards.

Required Qualifications

• High school diploma or equivalent required; associate degree in accounting, finance, or healthcare administration preferred.
• 1–3 years of cash posting or payment processing experience, preferably in healthcare or DME.
• Demonstrated experience posting:
  • Insurance payments
  • Patient payments
  • Lockbox payments
  • ERAs and EOBs
• Strong data entry and reconciliation skills with high attention to detail.

Preferred Qualifications

• Prior experience in a DME, home healthcare, or multi-entity healthcare organization.
• Familiarity with Medicare, Medicaid, and commercial insurance remittance structures.
• Experience working with external billing, lockbox, or audit vendors.
• Knowledge of DME billing systems (e.g., Brightree or Advanced MD preferred).

 

Physical Demands and Working Conditions

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 [email protected].