Scranton is one of the main healthcare centers of Northeastern Pennsylvania, with Geisinger a major provider and payer in the region.
If you are comparing medical billing companies in Scranton, Medical Coder gives you a full billing department — certified coders, A/R specialists and one dedicated account manager — for a percentage of what we collect.
Scranton Medical Billing Built Around Pennsylvania Payers
Most avoidable denials start with payer rules. For Scranton 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 Scranton Practices
Northeastern Pennsylvania practices bill Geisinger Health Plan, Highmark, Medicare and Medicaid plans. We know each one's rules and work every denial before the appeal window closes.
What Our Scranton Medical Billing Services Include
- Certified ICD-10, CPT and HCPCS coding with modifier review
- Charge entry and claim scrubbing before submission
- 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
Healthcare in Scranton
Scranton's healthcare market includes major systems such as Geisinger Community Medical Center and other regional hospitals in Northeastern Pennsylvania. 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 Scranton, Dunmore, Clarks Summit, Wilkes-Barre, Old Forge and the Wyoming Valley.
Specialties We Bill For in Scranton
We bill for 45+ specialties, including urology, gastroenterology, oncology, physical therapy. See all specialties.
Why Scranton Practices Outsource Medical Billing
- Certified coders who keep up with payer and code changes for you.
- Pay for results — percentage-of-collections pricing ties our fee to your revenue.
- A dedicated account manager who knows your practice and your payers.
- No single point of failure — your revenue no longer depends on one biller.
Get a Free Medical Billing Audit in Scranton
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 Bethlehem and York.