Healthcare Insurance Verification Specialist

BLACKBURN'S; Tarentum (Allegheny County); Vor Ort; USD 36.000 - 48.000; Vollzeit

Zusammenfassung

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.

Qualifikationen

• 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.

Aufgaben

• 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.

Kenntnisse

Customer service

Insurance verification

Communication

Multitasking

Ausbildung

High School Diploma

Tools

MS Office

Outlook

Jobbeschreibung

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.