Lab Charge Capture and Billing Support Specialist

St. Charles Health System; Bend (OR); On-site; USD 48,000 - 60,000; Full time

Job summary

St. Charles Health System in Bend, Oregon, seeks a Laboratory Charge Capture and Billing Support Specialist to ensure accurate charge capture, proper billing documentation, and timely issue resolution.

You will work with Laboratory Services, Revenue Cycle, and external partners to resolve discrepancies and support compliant billing. Responsibilities include reviewing charges, managing billing queues, reconciling invoices, and preparing outreach client invoices, while identifying opportunities to

Qualifications

• High school diploma or equivalent required.
• Two years in healthcare billing, revenue cycle, or related field required.
• Knowledge of CPT and ICD-10 coding preferred.

Responsibilities

• Review charges and supporting docs for accuracy and completeness.
• Monitor charge capture and billing work queues; resolve routine edits.
• Prepare and reconcile reference lab invoices and client invoices.
• Identify and report recurring billing issues to leadership; support process improvement.

Education

High school diploma or equivalent

Associate's or Bachelor's degree

Tools

Electronic health records

Laboratory information systems

Job description

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.

Licensure/Certification/Registration

• Required: N/A
• Preferred: N/A

Education

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

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.