Medical Billing & Authorization Assistant
Industry leader with a CMS 4.5 Star rating in Northeast Pennsylvania, voted Best Home Health Service (Readers' Choice 2025).
About the role
Traditional Home Health Care is seeking a skilled Medical Billing & Authorization Assistant to 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
- Working through claim denials and appeals processes
- Keeping track of patient data over multiple visits
- Managing detailed, specifically-coded information
- Maintaining patient confidentiality
- Collaborating 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/authorization issues 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
Benefits
- Health benefits offered
- Paid time off
- Easy-to-use electronic documentation (training provided)
- Orientation and training
- Weekly pay
- Competitive rates
- 401k options
Schedule
Monday through Friday, 8:30 AM – 5:00 PM
About Us
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. We are known to treat our employees with excellence, and our long-standing employee retention reflects this. Join our team of professionals and make a difference in someone’s life.
Location: 113 W. Drinker St., Dunmore, PA