Call Center / Customer Service Specialist 1

A-Line Staffing Solutions; Pittsburgh (Allegheny County); On-site; USD 32,000 - 38,000; Full time

Job summary

A-Line Staffing is seeking a Call Center Patient Services Specialist in Pittsburgh, PA 15275 to join a major Fortune 500 company with strong growth potential. The role involves guiding patients through benefits, prior authorizations, and financial assistance enrollment, while handling calls with providers and payors.

You will manage authorizations, respond to inquiries, and coordinate with sponsors to ensure timely processing, documentation, and excellent patient service throughout the access

Qualifications

• High school diploma or GED required.
• 6–12 months customer service or call center experience.
• Familiarity with medical or pharmacy terminology.

Responsibilities

• Manage the patient’s financial journey from start to finish, including benefits investigation, prior authorization support, and enrollment in financial assistance programs.
• Handle inbound and outbound communications with patients, prescriber offices, and third‑party providers to clarify medical and pharmacy coverage, benefits, and related inquiries.
• Resolve complex insurance rejections requiring follow‑up with patients, healthcare providers, and insurance payors.
• Manage the full authorization process, including prior authorizations, appeals, and medical tier exceptions.
• Initiate, review, submit, track, and follow up on authorization requests to ensure timely processing.
• Coordinate enrollment in manufacturer‑sponsored assistance programs and other financial support resources.
• Serve as a liaison between patients, healthcare providers, insurance companies, and program sponsors.
• Ensure accurate documentation, timely processing, and efficient, courteous communication throughout the patient access process.

Skills

Customer service

Medical terminology

Education

High school diploma or GED

Job description

A-Line Staffing is now hiring Call Center Patient Services Specialists in Pittsburgh, PA 15275! The Call Center Patient Services Specialists would be working for a Major Fortune 500 Company and have career growth potential.

Highlights

Schedule: 40 hours per week, will be assigned an 8hr shift between 8AM and 8PM (must be flexible to work any shift between 8am-8pm) Pay Range: $16.00 per hour

Responsibilities

• Manage the patient’s financial journey from start to finish, including benefits investigation, prior authorization support, and enrollment in financial assistance programs.
• Handle inbound and outbound communications with patients, prescriber offices, and third‑party providers to clarify medical and pharmacy coverage, benefits, and related inquiries.
• Resolve complex insurance rejections requiring follow‑up with patients, healthcare providers, and insurance payors.
• Manage the full authorization process, including prior authorizations, appeals, and medical tier exceptions.
• Initiate, review, submit, track, and follow up on authorization requests to ensure timely processing.
• Coordinate enrollment in manufacturer‑sponsored assistance programs and other financial support resources.
• Serve as a liaison between patients, healthcare providers, insurance companies, and program sponsors.
• Ensure accurate documentation, timely processing, and efficient, courteous communication throughout the patient access process.

Required Qualifications

• High school diploma or GED.
• 6 months to 1 year of customer service or call center experience.
• Familiarity with medical and/or pharmacy terminology.