Carolina Oncology Specialists has been caring for patients in Catawba County since 1983, offering patients high quality, personalized healthcare close to their own home so patients and caregivers don’t have to travel far for excellent care. Our patients experience the convenience of in-clinic chemotherapy treatments, as well as the treatment and management of blood disorders. Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve. Job Description: Job Description: Reconciliation Specialist Organization: Carolina Oncology Specialists Location: Remote-Charlotte, NC Department: Revenue Cycle Management Reports To: RCM 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.