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.
High school diploma required; 2–4 years of healthcare finance, medical billing, or revenue cycle reconciliation experience; proficiency with practice management systems and Microsoft Excel; strong analytical and problem-solving skills.
Key Responsibilities
- reconciling payments
- investigating discrepancies
- preparing reports
Skills & Tools
Microsoft Excel, practice management systems
Job Details
- Category: Finance and Accounting
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — United States
- Languages: English
About Carolina Oncology Specialists
A community oncology provider delivering patient-centered cancer and blood disorder care. — Industry: Healthcare