Lab Charge Capture and Billing Support Specialist

stcharles; Bend (OR); On-site; USD 46,000 - 63,000; Full time

Job summary

ST. Charles Health System in Bend, OR seeks a Laboratory Charge Capture and Billing Support Specialist to ensure accurate charge capture, billing documentation, and timely resolution of billing issues.

The role collaborates with Laboratory Services, Revenue Cycle, Patient Financial Services, and external lab partners to maintain compliant processes and reduce revenue leakage. Requires 2 years in healthcare billing or related field; 3 years preferred.

Qualifications

• Two (2) years of experience in healthcare billing, revenue cycle, laboratory support, or related healthcare field.
• Preferred: Three (3) years of experience in healthcare billing, revenue cycle, laboratory support, or related healthcare field. Knowledge of CPT and ICD-10 coding.
• High school diploma or equivalent required; Associate's or Bachelor's degree preferred.

Responsibilities

• Charge capture and billing support: review charges and documentation for accuracy and completeness.
• Monitor charge capture and billing work queues; resolve routine edits and exceptions.
• Identify missing or incorrect charges and coordinate corrections.
• Research and resolve billing discrepancies with appropriate teams.
• Perform routine charge capture and billing audits and report trends or issues.
• Support third-party and reference laboratory billing by ensuring accurate demographic, order, charge, and billing information.
• Invoice and client support: reconcile reference lab invoices and prepare outreach client invoices.
• Research billing inquiries and coordinate resolutions with relevant teams.
• Identify recurring billing issues and report to leadership.
• Comply with procedures, payer requirements, and organizational policies.

Skills

Healthcare billing

Revenue cycle

Laboratory support

Education

High school diploma or equivalent

Associate's or Bachelor's degree preferred

Tools

Electronic Health Records (EHR)

Laboratory Information Systems (LIS)

Job description

ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION

Full-Time, Days

Pay range: $22.30 - $30.11

DATE LAST REVIEWED: August 2026

OUR VISION: Creating America's healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENT SUMMARY: The Laboratory Departments provide comprehensive laboratory services to the multi-hospital organization and outreach community, including blood collection, specimen processing, testing, and reporting of results across all disciplines of laboratory medicine. Laboratory services support patients, providers, caregivers, and community partners across the health system by providing accurate, timely, and reliable laboratory testing and results.

POSITION OVERVIEW: The Laboratory Charge Capture and Billing Support Specialist supports laboratory revenue cycle operations by ensuring accurate charge capture, billing documentation, and timely resolution of billing and charge issues. The position reviews charges, manages billing work queues, reconciles reference laboratory invoices, prepares outreach client invoices, and identifies charge and billing discrepancies. The Specialist works with Laboratory Services, Revenue Cycle, Patient Financial Services, and external laboratory partners to resolve issues and support accurate and compliant billing processes.

ESSENTIAL FUNCTIONS AND DUTIES:

Charge Capture and Billing Support

• Reviews laboratory charges and supporting documentation for accuracy and completeness.
• Monitors assigned charge capture and billing work queues and resolves routine edits and exceptions.
• Identifies missing, incorrect, or incomplete charges and coordinates corrections.
• Researches and resolves laboratory billing and charge discrepancies with appropriate teams.
• Performs routine charge capture and billing audits and report identified trends or issues.
• Supports third-party and reference laboratory billing by ensuring accurate demographic, order, charge, and billing information.

Invoice and Client Support

• Reviews and reconciles reference laboratory invoices and supporting documentation.
• Prepares and maintains accurate laboratory outreach client invoices.
• Researches laboratory billing inquiries and coordinates resolution with appropriate teams.
• Identifies and reports recurring billing and charge issues to the Laboratory Revenue Integrity Specialist and/or Revenue Cycle leadership.

Compliance and Process Improvement

• Performs charge capture and billing activities according to established procedures, payer requirements, and organizational policies.
• Maintains knowledge of laboratory billing and charge capture requirements.
• Identifies opportunities to improve charge capture and billing workflows and reduce revenue leakage.
• Supports the Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
• Assists with development and maintenance of job aids and workflow documentation.

General Responsibilities

• Supports the vision, mission and values of the organization in all respects.
• Provides and maintains a safe environment for caregivers, patients and guests.
• Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
• Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
• May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION:

• Required: High school diploma or equivalent.
• Preferred: Associate's or Bachelor's degree .

LICENSURE/CERTIFICATION/REGISTRATION:

• Required: N/A
• Preferred: N/A

EXPERIENCE:

• Required: Two (2) years of experience in healthcare billing, revenue cycle, laboratory support, or a related healthcare field. Working knowledge of healthcare billing and revenue cycle processes.
• Preferred: Three (3) years of experience in healthcare billing, revenue cycle, laboratory support, or a related healthcare field. Knowledge of CPT and ICD-10 coding. Experience with laboratory charge capture and billing processes. Experience working with electronic health records or laboratory information systems.

PERSONAL PROTECTIVE EQUIPMENT:

• Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:

• Communication/Interpersonal Must have excellent communication skills and ability to interact with a diverse population and professionally represent S