Where You’ll Work Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. Job Summary and Responsibilities As a Charge Review Cash Rep, you will be a central figure responsible for the accurate and timely capture of all billable services and procedures, directly impacting our revenue cycle and ensuring appropriate reimbursement. You will play a vital role in optimizing financial performance and maintaining billing compliance.Every day, you will meticulously review clinical documentation, physician orders, and service records to identify all billable services, assign appropriate CPT, HCPCS, and ICD-10 codes, and ensure accurate charge entry. You will also collaborate with clinical departments, coders, and billing specialists to clarify documentation, resolve discrepancies, and educate on best practices, staying current with payer and regulatory changes.To be successful in this role, you will combine a strong medical terminology background, robust coding knowledge (CPT, HCPCS, ICD-10), and exceptional attention to detail. You will demonstrate a proactive approach to resolving charge capture issues, strong analytical and communication skills, and thrive in a fast-paced environment dedicated to financial accuracy and compliance. Review, correct, and process paper-based and electronically transmitted encounter data, charges, and account information to ensure billing accuracy, compliance, and timely reimbursement. Post and reconcile insurance and patient payments, adjustments, write-offs, EFTs, EOBs, and ERAs while validating accuracy and applying knowledge of payer contracts, benefits, and reimbursement guidelines. Research, analyze, and resolve complex billing, payment transfer, and account discrepancies using critical thinking and problem-solving skills, escalating issues as appropriate and notifying leadership of ongoing concerns. Maintain accurate account documentation, activity records, posting logs, and cash handling audits while ensuring confidentiality, data integrity, and adherence to organizational policies and procedures. Meet established productivity and quality standards through timely charge corrections, payment posting, account review, and proactive identification of issues that may delay billing or reimbursement. Serve as a lead resource by assigning and reviewing work, training and mentoring staff, assisting with hiring and onboarding, supporting quality reviews, implementing process improvements, and resolving escalated account issues within scope of authority. Job Requirements Required Two years of revenue cycle or related work experience that demonstrates attainment of the requisite job knowledge and abilities or Post-high school education in a field (e.g. medical billing) that would demonstrate attainment of the requisite job knowledge/abilities may be substituted, upon hire and Lead: One additional year of related work experience. None, upon hire