Healthcare Customer Service Specialist

BLACKBURN'S; Tarentum (Allegheny County); On-site; USD 36,000 - 48,000; Full time

Job summary

Blackburn's Physicians Pharmacy, Inc. in Tarentum, PA is seeking a dependable Customer Service Representative for a full-time, Monday–Friday daylight schedule.

The role focuses on insurance verification, benefits, medical billing insights, and coordinating with patients to move orders forward efficiently. As part of a healthcare team, you will verify eligibility, review coverage, and collaborate with billing, clinical, and warehouse departments.

Qualifications

• Experience in insurance verification and prior authorizations is strongly preferred.
• Experience with Medicare, Medicaid, commercial insurance, or healthcare benefits is desirable.
• Experience in healthcare settings (pharmacy, hospital, physician practice) is a plus.

Responsibilities

• Verify patient insurance eligibility, benefits, coverage, and payer requirements.
• Review Medicare, Medicaid, commercial insurance, and managed-care coverage information.
• Ensure required documentation or referrals are in place before orders move forward.
• Communicate with insurance companies, patients, offices, and internal teams to obtain missing information.
• Enter and maintain patient demographics and order details accurately.

Skills

Customer service

Insurance verification

Communication

Multitasking

Education

High School Diploma

Tools

MS Office

Outlook

Job description

Blackburn's Physicians Pharmacy, Inc. | Tarentum, PA

Full-Time | Monday-Friday | Daylight Schedule

Join a healthcare team where your attention to detail directly impacts patient care.

Blackburn's Physicians Pharmacy, Inc. is seeking a dependable, customer-focused Customer Service Representative with experience in insurance verification, healthcare benefits, medical billing, or durable medical equipment.

This is more than a traditional customer service position. Our CSRs help patients navigate the process of receiving essential medical equipment and supplies while working behind the scenes to confirm insurance coverage, gather required information, and ensure orders can move forward accurately and efficiently.

If you enjoy helping people, solving insurance-related issues, and working in a fast-paced healthcare environment, we want to hear from you.

What You’ll Do

• Verify patient insurance eligibility, benefits, coverage, and payer requirements.
• Review Medicare, Medicaid, commercial insurance, and managed-care coverage information.
• Determine whether required documentation, referrals, prescriptions, or prior authorizations are in place before an order moves forward.
• Communicate with insurance companies, patients, physician offices, referral sources, and internal departments to obtain missing or updated information.
• Accurately enter and maintain patient demographics, insurance information, documentation, and order details.
• Explain insurance coverage requirements and next steps to patients in a professional and easy-to-understand manner.
• Identify insurance or documentation issues that could delay an order and work proactively to resolve them.
• Answer inbound customer calls and provide timely, courteous assistance regarding orders, products, coverage, and service needs.
• Coordinate with billing, clinical, warehouse, service, and other departments to help ensure a smooth patient experience.
• Follow established procedures and payer guidelines while maintaining confidentiality and HIPAA compliance.
• Provide the level of service and follow-through patients should expect when relying on Blackburn's Physicians Pharmacy, Inc. for their healthcare needs.

What We’re Looking For

• Previous insurance verification experience is strongly preferred.
• Experience working with Medicare, Medicaid, commercial insurance, medical billing, prior authorizations, or healthcare benefits is highly desirable.
• Previous experience in durable medical equipment, healthcare, pharmacy, physician practice, hospital, insurance, or another medical environment is preferred.
• Strong customer service and telephone communication skills.
• Ability to interpret insurance information and explain requirements clearly to patients.
• Strong attention to detail and commitment to accurate documentation.
• Comfortable working with multiple computer systems while speaking with patients and insurance representatives.
• Ability to manage multiple priorities and follow up on outstanding items without losing track of details.
• Strong problem-solving skills and willingness to take ownership of an issue through resolution.
• Dependable, professional, and able to work effectively as part of a team.
• High school diploma or equivalent required.

What Will Make You Stand Out

We are especially interested in candidates who have hands-on experience with:

• Insurance eligibility and benefit verification
• Medicare and Medicaid
• Commercial insurance plans
• Medical terminology
• DME/HME billing or order processing
• Reviewing prescriptions and supporting documentationWorking with physician offices and referral sources
• Resolving insurance denials, coverage discrepancies, or missing documentation

Why Blackburn's Physicians Pharmacy, Inc.?

At Blackburn's Physicians Pharmacy, Inc., our Customer Service team plays an important role in helping patients receive the equipment and services they need. We are a growing healthcare organization offering employees stability, opportunities to develop their skills, and the chance to build a rewarding career while making a difference for the people we serve.

Qualifications

• High school diploma or equivalent (college credits or degree preferred).
• Prior experience with insurance verification and prior authorizations.
• Strong organizational, communication, and interpersonal skills.
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
• Familiarity with medical terminology, physiology, and anatomy is a plus.
• Proficiency in MS Office Suite, including Outlook and Internet applications.
• A self-motivated individual with a keen attention to detail and problem-solving skills