The Pharmacy Reconciliation Specialist is responsible for performing dual functions in both cash reconciliation and patient funding assistance within the Pharmacy IOD division. This role ensures the accuracy of bank deposits, vendor reporting, and account reconciliation while also partnering with Pharmacy staff and external funding foundations to secure financial support for patients.

Although this position reports directly to the Director, RCM Operations, it maintains a strong line of accountability to Pharmacy leadership. This individual will work closely with both Finance and Pharmacy teams to support operational accuracy and ensure patients have access to critical funding resources.

Responsibilities

Cash Reconciliation & Financial Oversight

• Monitor and balance all Pharmacy IOD bank deposits across multiple accounts.

• Reconcile deposits posted within vendor applications, ensuring accuracy of all reporting.

• Prepare and submit monthly reconciliation reports to Accounting and Finance.

• Review unresolved open accounts receivable (AR) items and perform appropriate follow-up.

• Partner with Finance leadership to align reconciliations with budget and reporting requirements.

Funding Assistance & Patient Support

• Collaborate with Pharmacy staff and patients to collect and validate required documentation for funding requests.

• Submit applications to outside foundations for patient assistance, ensuring timeliness and accuracy.

• Manage approved funding awards within designated systems.

• Adjust work schedule as needed to accommodate foundation open timeframes.

Collaboration & Oversight

• Work under direct supervision of the Director, RCM Operations, with oversight and training provided by the reconciliation team.

• Maintain a strong working partnership with Pharmacy leadership, ensuring alignment with departmental needs.

• Support vendor relationship management for reconciliation and funding processes.

• Participate in team meetings, process reviews, and special projects as assigned.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice.

Qualifications

Education: High School Diploma or equivalent required; Associate’s or Bachelor’s degree in Accounting, Finance, or Healthcare Administration preferred.

Experience

• Minimum three (3) years’ experience in payment posting, reconciliation, or related financial/accounting role.

• Experience in a pharmacy or healthcare setting strongly preferred.

• Prior experience with patient funding foundations a plus.

Technical Skills

• Proficiency in Microsoft Excel and Word.

• Knowledge of reconciliation processes, banking practices, and financial reporting.

• Experience with vendor or proprietary applications used for posting/reconciliation.

Key Competencies

• Strong attention to detail and ability to maintain accuracy in high-volume reconciliation.

• Excellent written and verbal communication skills.

• Strong customer service orientation with the ability to work with patients, staff, and external foundations.

• Ability to manage competing priorities and adapt to fluctuating workloads.

• High degree of professionalism, integrity, and confidentiality.

• Flexibility to adjust work hours to meet external funding deadlines.

• Collaborative mindset with ability to work effectively across Finance and Pharmacy teams.

Tech Requirements for the Job

• High-speed, reliable internet connection to ensure uninterrupted communication and access to necessary systems and tools.

• Quiet and private work environment to maintain the confidentiality of patient information and minimize background noise during calls.

• Proficiency in using remote collaboration tools, such as video conferencing software, instant messaging platforms, and customer relationship management systems.

• Compliance with all security and privacy policies and protocols, including safeguarding patient information and maintaining HIPAA compliance.