Claims Processing Specialist

Job Details. Job Location: Blackburn's Corporate - Tarentum, PA 15084. Job Category: Insurance. Location: Tarentum, PA. Department: Claims. About the Role The 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. This position is ideal for someone who is highly organized, detail-focused, and comfortable working with insurance documentation, billing systems, and payer communications. The right candidate will be proactive, dependable, and able to manage multiple priorities while maintaining a high level of accuracy. Responsibilities Review and process medical insurance claims in accordance with payer guidelines Monitor claim status and perform follow-up on outstanding or denied claims Verify documentation requirements and ensure records are complete before submission Assist with insurance authorizations, reauthorizations, and prescription renewals Communicate with insurance representatives regarding claim status, missing information, or denials Work collaboratively with billing teams, customer service staff, and clinical departments Maintain accurate account notes and supporting documentation Prioritize daily workloads to meet filing deadlines and departmental goals Identify recurring issues and help support process improvements to reduce delays and denials Ensure compliance with company procedures and insurance regulations What We Offer Stable, full-time position with a growing healthcare organization Supportive team environment with hands-on training Opportunities for advancement and professional development Competitive pay and benefits package The opportunity to make a direct impact on patient care and service Qualifications What We’re Looking For: Previous experience in healthcare billing, claims processing, DME/HME, or insurance coordination preferred Understanding of Medicare, Medicaid, and commercial insurance processes is a plus Strong attention to detail and problem‑solving skills Excellent communication and organizational abilities Ability to work independently and as part of a team Comfortable working in a high-volume, deadline-driven environment Basic proficiency with Microsoft Office and computer-based systems #J-18808-Ljbffr Blackburn'S Physicians Pharmacy