Patient Insurance Specialist

The Hemophilia Clinic of Western PA with Vitalant is seeking a Patient Insurance Specialist dedicated to making a positive difference. If you are customer-focused and impact-inspired to helping others, and making a difference is vital for you, you’ll experience a career built on purpose, an organization created to care, and a team committed to lead – together.

Your impact as a Patient Insurance Specialist is vital. Support our life saving mission by playing a crucial role in assisting patients with understanding their insurance coverage, navigating complex insurance systems and in some cases work with the billing and reimbursement team. You will serve patients for the Hemophilia Clinic of Western PA, located in downtown Pittsburgh in the Oakland neighborhood. (Free parking!)

What to Expect:

Monday - Friday 8:00 - 4:30 PM (on site at the Hemophilia Clinic of Western PA in the Oakland area of downtown Pittsburgh, Free Parking!)

• Assess patients' insurance coverage and benefits to determine eligibility for services offered at the medical clinic.
• Guide patients through the insurance process, including explaining benefits, coverage limitations, and out-of-pocket expenses.
• Verify insurance coverage & benefits and obtain pre-authorization for medications, medical procedures, and services as required by insurance providers.
• Maintain accurate and detailed records of insurance information, authorizations, and communications with insurance companies.
• Collaborate with the billing department to ensure accurate coding and billing practices, including resolving any insurance-related issues or denials.
• Educate patients, families, and clinic staff on insurance-related matters, including changes in coverage, policy updates, and billing procedures.
• Keep abreast of changes in insurance regulations, policies, and procedures to ensure compliance and provide accurate information to patients and staff.
• This role may also encompass additional tasks as assigned to ensure comprehensive support for patients and efficient operation of the insurance navigation process.

Education Required:
1. High School Diploma or GED required.
2. Strong understanding of medical coding and terminology required.

3. Bachelor’s degree in healthcare administration, business administration, or related field preferred.

Experience Required:

Two years of experience working directly with insurance navigation, medical billing, OR healthcare administration involving heavy insurance navigation required.

Preferred proficiency with Medicaid, as well as UPMC and Highmark insurance plans.


Skills/Abilities
1. Ability to provide exceptional customer service with particular regard to sensitive information.
2. Effective oral, written, and digital communication skills.
3. Must possess the skills and abilities to successfully perform all assigned duties and responsibilities.
4. Must be able to maintain confidentiality.
5. Motivated to stay updated on the ever-changing healthcare insurance landscape.

About Us

Vitalant is one of the nation’s largest nonprofit blood and biotherapies healthcare organizations, providing hospitals and patients across the U.S. a safe blood supply, specialized laboratory services, transfusion medicine expertise and world-renowned research. We have a network of 115 donation centers across the U.S. and host approximately 60,000 blood drives annually. Vitalant provides blood and special services to patients in more than 900 hospitals across the U.S. where millions of people depend on blood donations from our generous donors.

Vitalant is committed to fostering a diverse and inclusive workplace built on a foundation of respect, integrity, teamwork, and excellence. Through our DEI strategic plan, we create opportunities for employees of all backgrounds to feel valued, seen and heard. We believe this mission drives creativity and innovation, as employees experience an environment conducive to personal growth and career development.

EEO/Minorities/Females/Disabled/Veterans

Our organization is an equal employment/affirmative action employer. If you need accommodation for any part of the employment process because of a medical condition or disability, please send an e-mail to [email protected] to let us know the nature of your request.

For more EEO information about applicant rights click here