Charge Review Specialist, Specialty Laboratory (M-F, Day Shift) - Bethlehem, PA

St. Luke's University Health Network•Bethlehem, PA

11d•Onsite

About The Position

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. This position will ensure optimization of laboratory revenue and reimbursement through effective work queue management and comprehensive vendor invoice reconciliation. The role is responsible for executing all charge related functions for the Network laboratories, ensuring accuracy, completeness, and timeliness of billing activity. Responsibilities include reviewing and validating charges in accordance with established charging policies, regulatory requirements, and payer guidelines, supported by appropriate documentation within the patient medical record. This position serves as a key control point to mitigate revenue leakage, support compliance, and improve overall financial performance of the laboratory network.

Requirements

High school diploma or equivalent required
clinical laboratory and/or charge entry experience

Nice To Haves

Associates/Bachelor’s
Epic Beaker experience

Responsibilities

Manage laboratory billing work queues to ensure timely, accurate, and complete charge capture across all Network laboratories.
Performs charge reconciliation for the assigned laboratory department(s).
Review and balance charge reconciliation report each day for accuracy.
Perform end‑to-end charge review, validation, and reconciliation in accordance with established charging policies, regulatory requirements, and payer guidelines.
Ensures that all send‑out laboratory tests have a finalized result documented in the patient chart and a corresponding billable charge.
Reconcile laboratory vendor invoices against performed services and contractual terms to ensure appropriate billing, reimbursement, and cost recovery.
Review patient medical records and supporting documentation to substantiate charges and resolve discrepancies prior to claim submission.
Identify, investigate, and correct charging errors, omissions, and variances to prevent revenue leakage and reduce denials.
Collaborate with laboratory operations, revenue cycle, compliance, and vendor partners to resolve charge and reimbursement issues.
Monitor trends in charge capture reimbursement outcomes; escalate systemic issues.
Support audits, compliance reviews, and payer inquiries by providing documentation, analysis, and corrective follow‑up as needed.
Maintain current knowledge of laboratory billing regulations, coding standards, payer requirements, and internal policies.
Functions as the Epic (EHR) subject matter expert for laboratory billing and revenue reconciliation processes
Participate in process improvement initiatives to enhance revenue cycle efficiency, accuracy, and financial performance.
Prepare routine and ad hoc reports related to charge activity, reconciliation outcomes, and revenue impact for leadership review.
Maintains confidentiality of all materials handled within the Network/ Entity as well as the proper release of information.
Complies with Network and departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements.
Demonstrates/models the Network’s Service Excellence Standards of Performance in interactions with all customers (internal and external).
Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices.
Complies with Network and departmental policies regarding attendance and dress code.
Other related duties as assigned.