Bethlehem is home to the flagship campus of St. Luke's University Health Network and is part of the fast-growing Lehigh Valley healthcare market.
Medical Coder is an outsourced medical billing company serving Bethlehem practices of every size. We take over coding, claims, denials and A/R follow-up so your team can focus on patients.
Bethlehem Medical Billing Built Around Pennsylvania Payers
Most avoidable denials start with payer rules. For Bethlehem practices we work every major payer in Pennsylvania:
- Medicaid: Pennsylvania Medical Assistance, administered by the Department of Human Services (DHS), through HealthChoices physical health plans such as UPMC for You, Keystone First, AmeriHealth Caritas Pennsylvania and Highmark Wholecare.
- Medicare: Part A and Part B claims through Novitas Solutions (Jurisdiction L), plus Medicare Advantage plans.
- Commercial plans: Highmark Blue Cross Blue Shield, Independence Blue Cross, Capital Blue Cross, UPMC Health Plan, Geisinger Health Plan, Aetna and UnitedHealthcare.
- TRICARE and VA Community Care for military families and veterans.
Pennsylvania has payer rules of its own — see medical billing in Pennsylvania for how we handle them.
Billing Challenges for Bethlehem Practices
Independent practices in Bethlehem compete with large networks for patients and staff. Outsourced billing gives you the same revenue cycle depth without hiring a full billing team.
What Our Bethlehem Medical Billing Services Include
- Electronic claim submission and payment posting
- Denial management and appeals
- A/R follow-up on every unpaid claim, including aged A/R
- Patient statements and balance support
- Provider credentialing and payer enrollment
- Monthly reporting on collections, denials and days in A/R
- Eligibility and benefits verification before every visit
- Certified ICD-10, CPT and HCPCS coding with modifier review
- Charge entry and claim scrubbing before submission
Healthcare in Bethlehem
Bethlehem's healthcare market includes major systems such as St. Luke's University Hospital – Bethlehem and nearby Lehigh Valley Health Network hospitals. Independent practices compete with these systems for patients and staff — outsourced billing gives you the same revenue cycle depth without building a billing department. We support practices across Bethlehem, Hellertown, Easton, Allentown, Nazareth and the Lehigh Valley.
Specialties We Bill For in Bethlehem
We bill for 45+ specialties, including pain management, chiropractic, podiatry, internal medicine. See all specialties.
Why Bethlehem Practices Outsource Medical Billing
- Faster payments — consistent follow-up on every open claim, not just the big ones.
- Clear monthly reporting on collections, denials and A/R.
- Lower cost than in-house billing — no salaries, benefits, training or billing software to pay for.
- Fewer denials — every claim is scrubbed before submission and every denial is worked.
Get a Free Medical Billing Audit in Bethlehem
We will review your claims, denials and A/R at no cost and show you where revenue is being lost. Start with a medical billing audit, see how pricing works, or explore our Pennsylvania medical billing services and nearby pages for Lancaster and Philadelphia.