Claims Processing Specialist - Tarentum, PA

Claims Processing SpecialistBlackburn's Corporate - Tarentum, PA 15084Overview: Category InsuranceInsurance Claims Specialist - DME/HMELocation: Tarentum, PA Department: ClaimsAt Blackburn's Physicians Pharmacy, we help patients gain access to the medical equipment and healthcare services they depend on every day. We are currently seeking an experienced Insurance Claims Coordinator to join our Claims team and support the processing, follow-up, and resolution of medical insurance claims within a fast-paced DME/HME environment.This position is ideal for someone who is highly organized, detail-focused, and comfortable working with insurance documentation, billing systems, and payer communications.About the RoleThe Claims Specialist is responsible for reviewing and processing healthcare claims, tracking insurance requirements, and supporting reimbursement efforts for medical equipment and related services. This role works closely with internal departments, insurance companies, and healthcare providers to ensure claims are handled accurately and efficiently.The right candidate will be proactive, dependable, and able to manage multiple priorities while maintaining a high level of accuracy.ResponsibilitiesReview and process medical insurance claims in accordance with payer guidelinesMonitor claim status and perform follow-up on outstanding or denied claimsVerify documentation requirements and ensure records are complete before submissionAssist with insurance authorizations, reauthorizations, and prescription renewalsCommunicate with insurance representatives regarding claim status, missing information, or denialsWork collaboratively with billing teams, customer service staff, and clinical departmentsMaintain accurate account notes and supporting documentationPrioritize daily workloads to meet filing deadlines and departmental goalsIdentify recurring issues and help support process improvements to reduce delays and denialsEnsure compliance with company procedures and insurance regulationsWhat We OfferStable, full-time position with a growing healthcare organizationSupportive team environment with hands-on trainingOpportunities for advancement and professional developmentCompetitive pay and benefits packageThe opportunity to make a direct impact on patient care and serviceQualificationsWhat We're Looking For:Previous experience in healthcare billing, claims processing, DME/HME, or insurance coordination preferredUnderstanding of Medicare, Medicaid, and commercial insurance processes is a plusStrong attention to detail and problem-solving skillsExcellent communication and organizational abilitiesAbility to work independently and as part of a teamComfortable working in a high-volume, deadline-driven environmentBasic proficiency with Microsoft Office and computer-based systems