About The 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.