Welcome to BLACKBURN’S...

As a provider of Home Medical Equipment since 1936, we are committed to your health care needs. Our staff of professionals will work with you to ensure you have the best equipment or supplies available to meet your needs in an environment that is safe for you and your family. Your health and well-being is important to all of us at BLACKBURN’S.

What sets BLACKBURN’S apart from other providers?  Our clinical-based programs and professional staff.

To support our clinical-based programs, we employ industry experts such as Pharmacists, Respiratory Therapists, Assistive Technology Professionals (ATPs), Rehab Mobility Service Technicians, Nurses, and Certified Environment Access Consultants.  Our goal is to match your needs with the proper equipment and supplies that will allow you to continue your current activity level in your home.

Everyone at BLACKBURN’S will work to see that all aspects of the care and service you receive are handled in a professional and efficient manner. You are encouraged to speak with them regarding any questions you have relative to your care.

We look forward to making your experience with BLACKBURN’S a positive and productive one that will enhance your state of health.

Serving Regions of Pennsylvania, Ohio, New York and West Virginia offering the following products and services:

Pharmacy Services
Medical Supplies
Durable Medical Equipment
Advanced Wound Care
Standard/Complex Rehab Mobility
Respiratory / Ventilators
Home Accessibility Products

Industry: Hospitals and Health Care
Company Size: 51-200 employees

BLACKBURN'S

Savvy Admin PROD

**Location: ** Tarentum, PA

**Department: **Claims Department

At Blackburn's Physicians Pharmacy, our mission is simple: **People first, Be kind, & Work together, for our patients, our employees, and our community **~~. ~~ We are seeking a detail-oriented and motivated Claims Processing Specialist to join our growing Claims Department and help ensure timely, accurate, and compliant insurance claim processing for the patients we serve.

This role is ideal for someone who thrives in a fast-paced healthcare environment and has experience with medical billing, insurance authorizations, claims follow-up, or healthcare documentation.

**Position Summary **

The Claims Processing Specialist is responsible for managing third-party medical claims, insurance documentation, and reauthorization processes to support uninterrupted patient care and timely reimbursement. This position plays a key role in reducing denials, maintaining compliance, and supporting operational efficiency across the claims process.

Success in this role requires strong organizational skills, attention to detail, effective communication, and the ability to manage multiple priorities while meeting strict filing deadlines.

**Key Responsibilities **

- Process and review third-party medical claims for accuracy, completeness, and compliance

- Manage insurance documentation, authorizations, and requalification requirements

- Verify benefits, authorization requirements, and payer guidelines for various insurance plans

- Create, submit, monitor, and track documentation and authorization requests in a timely manner

- Follow up on prescription renewals and required documentation to avoid delays in patient care

- Work collaboratively with internal departments, providers, patients, and insurance payers to resolve claim issues and denials

- Utilize reporting tools and work queues to prioritize follow-up and maintain productivity

- Identify trends impacting reimbursement or claims processing and communicate findings to management

- Assist with denial resolution and process improvement initiatives to increase efficiency and reduce write-offs

- Maintain accurate records and ensure all documentation is audit-ready

- Support additional departmental projects and responsibilities as assigned

**What We Offer **

- ~~Meaningful ~~work that directly supports patients receiving essential healthcare equipment and services

- A ~~collaborative ~~ and ~~supportive ~~ team environment

- Opportunities for ongoing training, professional development, and career growth

- Competitive compensation and benefits

- A mission-driven workplace where your contributions make a real difference every day

**Qualifications **

- Strong attention to detail with excellent organizational and time-management skills

- Effective written and verbal communication abilities

- Ability to manage multiple tasks and work efficiently in a deadline-driven environment

- Strong interpersonal skills and ability to collaborate across teams

- Proficient computer and data-entry skills

- Experience in healthcare, medical billing, DME/HME, or insurance claims processing preferred

- Knowledge of medical third-party billing and insurance authorization processes preferred

- Familiarity with Medicare, Medicaid, and commercial insurance plans is a plus

- Microsoft Word and Excel experience preferred

Insurance Claims Specialist

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