Payment Poster/Reconciliation Specialist

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.