About this role
Carolina Oncology Specialists has been providing compassionate, patient-centered care since 1983, delivering high-quality oncology and hematology services tailored to each individual's needs. Patients benefit from the convenience of receiving chemotherapy treatments in our clinics, along with expert diagnosis, treatment, and management of a wide range of blood disorders.
Why Join Us?
We are seeking talented, compassionate, and highly motivated individuals who are passionate about making a difference. At Carolina Oncology Specialists, you'll have the opportunity to support the meaningful work of community oncology while helping provide exceptional care and hope to the patients and families we serve. Join a team dedicated to clinical excellence, collaboration, and improving lives every day.
Job Description: Job Description: Reconciliation Specialist
Organization: Carolina Oncology Specialists Location: Carolina Oncology Specialists- Remote Department: Billing Reports To: Billing Manager
Position Summary
The Reconciliation Specialist is responsible for ensuring the accuracy and integrity of financial transactions related to patient accounts, insurance payments, and practice revenue. This role plays a critical part in maintaining financial compliance by reconciling payments, identifying discrepancies, and supporting revenue cycle optimization efforts within Carolina Oncology Specialists.
Key Responsibilities
• Perform daily, weekly, and monthly reconciliation of payments, including insurance remittances, patient payments, and electronic funds transfers (EFTs).
• Compare bank deposits, clearinghouse reports, and practice management system data to ensure alignment and completeness.
• Investigate and resolve discrepancies, including underpayments, overpayments, and unapplied cash.
• Work closely with billing, coding, and collections teams to correct posting errors and ensure accurate account balances.
• Monitor and reconcile accounts receivable transactions to support clean financial reporting.
• Validate contractual adjustments and payer reimbursement accuracy.
• Ensure timely posting and reconciliation of all revenue streams.
• Maintain detailed records of reconciliation activities and audit trails.
• Prepare and distribute reconciliation reports to leadership, highlighting trends and issues.
• Support internal and external audits by providing documentation and analysis.
• Assist in process improvement initiatives to strengthen revenue cycle efficiency and reduce errors.
Required Qualifications
• High school diploma or equivalent required; Associate’s or Bachelor’s degree in Accounting, Finance, or related field preferred.
• Minimum of 2–4 years of experience in healthcare finance, medical billing, or revenue cycle reconciliation.
• Strong understanding of insurance remittances (EOBs/ERAs), payment posting, and healthcare reimbursement processes.
• Proficiency in practice management systems and Microsoft Excel (including pivot tables and reconciliation functions).
• High level of attention to detail and accuracy.
• Strong analytical and problem-solving skills.
• Ability to manage multiple priorities and meet deadlines.
Preferred Qualifications
• Experience in oncology or specialty medical practice.
• Familiarity with payer contracts and reimbursement methodologies.
• Knowledge of regulatory guidelines related to healthcare billing and compliance.
Key Competencies
• Financial Accuracy & Integrity
• Analytical Thinking
• Problem Resolution
• Attention to Detail
• Collaboration & Communication
• Time Management
Working Conditions
• Primarily office-based role with extended periods of computer work.
• May require occasional extended hours during month-end close or audit periods.