Medical Billing & Authorization Assistant

Traditional Home Health and Hospice; Dunmore (Lackawanna County); On-site; USD 40,000 - 56,000; Full time

Benefits offered by this job

Health Benefits offered

Paid Time off

Weekly pay

401k Options

Job summary

Traditional Home Health Care is seeking a Medical Billing & Authorization Assistant to join our in-house team in Dunmore, PA. You will process medical claims, ensure timely reimbursement, and maintain regulatory compliance.

Responsibilities include coding, submitting authorizations, and handling denials and appeals while keeping patient data confidential and accurate across visits.

Qualifications

• Experience handling appeals and denials in medical billing.
• Proficient with home health billing and authorization workflows.
• Knowledge of Medicare, Medicaid, and primary/secondary insurances.
• Familiarity with medical terminology, contracts, fee schedules and reporting tools.

Responsibilities

• Read and analyze patient records to assign correct codes.
• Submit authorizations for services and monitor authorization status.
• Bill insurance providers and verify copays and visit limits.
• Process claim denials and pursue appeals for reimbursement.
• Maintain patient data across multiple visits with confidentiality.

Skills

Appeals/denials

Billing & authorization

Medicare/Medicaid knowledge

HIPAA compliance

Job description

Traditional Home Health Care

Industry leader with a CMS 4.5 Star rating in Northeast Pennsylvania
Voted Best Home Health Service-Readers' Choice 2025

Job Title: Medical Billing & Authorization Assistant
Job Location: 113 W. Drinker St. Dunmore, PA
Schedule: Monday thru Friday 8:30am - 5:00pm
This position is in house at our Dunmore office.

Summary: Traditional Home Health Care is seeking a skilled Medical Billing & Authorization Assistantto join our team. In this position, you will be responsible for accurately processing medical claims, ensuring timely reimbursement from insurance companies, and maintaining compliance with all relevant regulations.

Responsibilities:

• Reading and analyzing patient records
• Determining the correct codes for patient records
• Using codes to bill insurance providers
• Checking insurances for copays, limitations on visits and authorization requirements
• Verifying multiple types of insurances
• Submitting authorizations for services
• Work through claim denials and appeals processes
• Keeping track of patient data over multiple visits
• Managing detailed, specifically-coded information
• Maintaining patient confidentiality
• Collaborate with the Billing Department to resolve billing discrepancies.

Requirements:

• Knowledge in appeals and denials
• Proficient in Home Health and Hospice billing and authorization experience is preferred
• Knowledge of Medicare, Medicaid and primary/secondary insurances
• Knowledge of medical terminology, provider contracts, fee schedules, payment methodologies and other relevant software applications and reporting requirements is preferred
• Skilled in data analysis and problem solving using defined methodologies
• Ability to research resolutions to billing/authorizationissues independently
• Ability to work independently across multiple projects with minimal supervision
• Ability to use discretion concerning sensitive information and adhere to HIPAA
• Ability to communicate professionally, clearly and effectively, verbally and in writing
• Ability to prioritize effectively and consistently multitask

Why Choose Traditional Home Health Care?

• Supportive Team and Environment
• Health Benefits offered
• Paid Time off
• Easy to use electronic documentation - training provided
• Orientation and training
• Weekly pay
• Competitive Rates
• 401k Options
• Growing Company
• Long Standing employee retention
• Career Stability

For additional information you may call Bryan @ 570-207-9286 ext. 144
At Traditional Home Health Care we listen, respect, and value your hard work. Join our team of professionals and make a difference in someone’s life. Voted as the BEST Home Health Service in 2025, it is evident that our employees enjoy their job providing the best care in the area. We are known to treat our employees with excellence. Traditional Home Health Care is a leader in the health care field providing skilled nursing/aide services and state of the art educational programs that have proven results. Our goals are clear: to restore the patient's health and increase patient confidence in their own abilities so that they may lead healthier more productive lives. To learn more about Traditional Home Health Care, please visit our website at www.TraditionalHomeHealthCare.com or call Shannon at 570-207-9286 at extension 144.

Equal Employment Opportunity

Traditional Home Health Care provides equal employment opportunity regardless of age, sex, color, race, creed, national origins, religious affiliation, marital status, sexual orientation, veteran's status or non-job-related disability. This is reflected in all employment practices and policies regarding hiring, training, transfers, rate of pay, termination and other forms of compensation. All matters relating to employment, salary and benefits are determined based upon ability to perform the job, as well as dependability once hired.

Job ID: #THH2