Laboratory Charge Capture and Billing Support Specialist

Full-Time, Variable Pay range: $22.30 - $30.11 ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION TITLE: Laboratory Charge Capture and Billing Support Specialist

REPORTS TO POSITION: Laboratory Support Services Supervisor

DEPARTMENT: Laboratory

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 St. Charles Health System.
• Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees.
• Strong team working and collaborative skills.
• Ability to effectively reach consensus with a diverse population with differing needs.
• Ability to manage facilitation and consensus building among health care professionals and agencies and achieve expected results.
• Ability to work under pressure in a fast‑paced environment.
• Organizational Ability to multi‑task and work independently.
• Attention to detail.
• Excellent organizational skills, written and oral communication, and customer service skills, particularly in dealing with stressful personal interactions.
• Strong analytical, problem solving and decision‑making skills.

Technical

• Strong computer skills, including proficiency with Microsoft Office applications.
• Intermediate Excel skills and ability to create, maintain, and interpret reports.
• Ability to navigate laboratory, billing, and electronic health record systems.
• Ability to accurately enter, review, and reconcile electronic charge and billing information.

PHYSICAL REQUIREMENTS

• Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
• Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
• Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing, or pulling 1-10 pounds, grasping/squeezing.
• Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing, or pulling 11-25 pounds, operation of a motor vehicle.
• Never (0%): Climbing ladder/stepstool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.

Exposure to Elemental Factors

• Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

No Risk for Exposure to BBP

Schedule Weekly Hours

40

Caregiver Type

Regular Shift: Variable (United States of America)

Is Exempt Position?

No

Job Family

ASSISTANT LAB

Scheduled Days of the Week

As Scheduled (may include weekends and holidays)

Shift Start & End Time

830 - 1700

ABOUT ST. CHARLES HEALTH SYSTEM

St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine.