Medical Biller/Claims Processing - Patient Support Representative (Home-Based)

IQVIA Argentina; Atlanta (GA); On-site; USD 2,614,000 - 3,723,000; Full time

Job summary

IQVIA is seeking a Remote Medical Biller/Claims Processing professional to support patient billing activities. The role involves handling medical claims, reviewing documentation, interpreting EOBs, and applying program rules to determine payment status.

This contract position offers remote work with potential full-time conversion and requires strong billing and verification experience. You will engage with patients and providers via phone, email, or portal, ensuring accuracy, HIPAA compliance,

Qualifications

• High School Diploma or equivalent required.
• Completion of Medical Billing Program or Medical Billing degree or Certified Medical Billing license required.
• Experience in claim processing required.
• Ability to interpret EOBs required.
• Insurance verification experience required.
• Experience with payment postings required.
• Call center and customer service experience required.

Responsibilities

• Receive medical claims from healthcare providers or patients and ensure all required supporting documentation is provided.
• Interpret Explanation of Benefits (EOB) and CMS-1500 forms.
• Evaluate claims against program-specific business rules to determine approval or rejection.
• Maintain organizational skills to manage daily workload.
• Provide support to customer inquiries via phone, email, fax, or other channels.
• Identify operational challenges and recommend solutions to management.

Skills

Medical Billing

Claim processing

HIPAA compliance

Customer service

EOB interpretation

Insurance verification

Payment posting

Multilayer billing

Call center

Education

High School Diploma

Medical Billing program/degree

Job description

Medical Biller/Claims Processing - Patient Support Representative (Home-Based)

Atlanta, United States of America | Full time | Home-based | R1561456

Contract Remote Role – Location (Open to Remote US)

At IQVIA, we are driven by a shared purpose: to improve patients’ lives through innovative healthcare solutions. As a global leader in commercial services, we bring life-changing therapies and support programs to the people who need them most. Our workplace is rooted in belonging, collaboration, and continuous improvement—where every team member is empowered to make an impact.

As a Patient Support Medical Billing Representative , you’ll be part of a team that delivers meaningful assistance to patients through co-pay cards, vouchers, and claims support. We invest in your success with career development opportunities and a culture that values client focus, flawless execution, teamwork, integrity, and results.

We are excited to announce an opening for a 100% remote (work from home) Patient Support Medical Billing Representative to join our team! In this role, you will provide payment assistance solutions such as co-pay cards or vouchers to patients. Your primary responsibility will be to receive medical claims from healthcare providers (HCPs) or patients, review supporting documentation, and vet each claim against program-specific business rules to determine whether it should be paid or rejected. This is a contract position with IQVIA , managed by an external agency, with the potential to convert to a full-time IQVIA employee .

Job Responsibilities

Receive medical claims from healthcare providers (HCPs) or patients and ensure all required supporting documentation is provided.

Interpret Explanation of Benefits (EOB) and CMS-1500 forms.

Evaluate claims against program-specific business rules to determine approval or rejection.

Maintain exceptional organizational skills to manage daily workload .

Provide support to customer inquiries via phone, email, fax, or other communication channels.

Identify operational challenges and recommend solutions to management as needed.

Adhere to HIPAA guidelines.

Prioritize tasks effectively throughout the day.

Meet daily productivity and quota expectations.

Work 40 hours per week under moderate supervision.

High School Diploma or equivalent Required

Completion of Medical Billing Program or Medical Billing degree or Certified Medical Billing license Required

E xperience in claim processing Required

Ability to interpret EOBs Required

Insurance verification exp erience Required

Experience with payment postings Required

C all c enter , c ustomer service experience (inbound/outbound calls) Required

Revenue cycle experience Preferred

Experience with secondary and tertiary billing Preferred

Familiarity with complex insurance scenarios Preferred

Experience with multi-layered billing processes Preferred

The pay range for this role is $23.00 per hour.

IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

#LI-CES

#LI-Remote

#LI-DNP

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.

The potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

Patient Suppor t Medical Billing Representative

Contract Remote Role – Location (Open to Remote US)

At IQVIA, we are driven by a shared purpose: to improve patients’ lives through innovative healthcare solutions. As a global leader in commercial services, we bring life-changing therapies and support programs to the people who need them most. Our workplace is rooted in belonging, collaboration, and continuous improvement—where every team member is empowered to make an impact.

As a Patient Support Medical Billing Representative , you’ll be part of a team that delivers meaningful assistance to patients through co-pay cards, vouchers, and claims support. We invest in your success with career development opportunities and a culture that values client focus, flawless execution, teamwork, integrity, and results.

We are excited to announce an opening for a 100% remote (work from home) Patient Support Medical Billing Representative to join our team! In this role, you will provide payment assistance solutions such as co-pay cards or vouchers to patients. Your primary responsibility will be to receive medical claims from healthcare providers (HCPs) or patients, review supporting documentation, and vet each claim against program-specific business rules to determine whether it should be paid or rejected. This is a contract position with IQVIA , managed by an external agency, with the potential to convert to a full-time IQVIA employee .

Job Responsibilities

• Receive medical claims from healthcare providers (HCPs) or patients and ensure all required supporting documentation is provided.

• Interpret Explanation of Benefits (EOB) and CMS-1500 forms.

• Evaluate claims against program-specific business rules to determine approval or rejection.

• Maintain exceptional organizational skills to manage daily workload .

• Provide support to customer inquiries via phone, email, fax, or other communication channels.

• Identify operational challenges and recommend solutions to management as needed.

• Adhere to HIPAA guidelines.

• Prioritize tasks effectively throughout the day.

• Meet daily productivity and quota expectations.

• Work 40 hours per week under moderate supervision.

Minimum Education & Experience

• High School Diploma or equivalent Required

• Completion of Medical Billing Program or Medical Billing degree or Certified Medical Billing license Required

• E xperience in claim processing Required

• Ability to interpret EOBs Required

• Insurance verification exp erience Required

• Experience with payment postings Required

• C all c enter , c ustomer service experience (inbound/outbound calls) Required

• Revenue cycle experience Preferred

• Proficiency in Microsoft Office (Excel, Word, Outlook, Teams) Preferred

• Experience with secondary and tertiary billing Preferred

• Familiarity with complex insurance scenarios Preferred

• Experience with multi-layered billing processes Preferred

The pay range for this role is $23.00 per hour.

IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

#LI-CES

#LI-Remote

#LI-DNP

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.

Where you'll work

Home-based

You’ll work remotely, with the flexibility to do your best work from home. Supported by collaborative tools and a global team, you’ll stay connected while enjoying the autonomy and balance that comes with a fully remote role.

I like that we’re different. I like that we’re a unique organization unlike any other. I like to think of us as the intelligence company for life sciences and healthcare. I do believe there’s nothing else like this organization in the world. So if you like something that’s different and interesting, you’re going to like IQVIA. If you like an organization that has a variety of opportunities, from IT to big data to AI to finance to HR, there are so many opportunities to have an impact.

The culture in IQVIA is to be constantly looking at how we can do things better to help our customers, to bring life‑changing medicines to patients and also to be a part in designing and developing and implementing these solutions. And so I think it’s a great place to join because there is that organizational focus and commitment in driving forward the innovation and just the ability, I think, to work with cross‑functional teams who are all excited to working in these areas. It’s a fantastic opportunity.

First of all, we are humans, we have some moments in our lives that are so very important and we need to respect. And something I also always love about IQVIA was that my leaders and people with which I have been working, they always respected a lot as well our personal lives. I never miss a parents’ meeting of my kids, and this is something that we shouldn’t be giving for granted.

Senior Director Global Site Activation

I like that we’re different. I like that we’re a unique organization unlike any other. I like to think of us as the intelligence company for life sciences and healthcare. I do believe there’s nothing else like this organization in the world. So if you like something that’s different and interesting, you’re going to like IQVIA. If you like an organization that has a variety of opportunities, from IT to big data to AI to finance to HR, there are so many opportunities to have an impact.

First of all, we are humans, we have some moments in our lives that are so very important and we need to respect. And something I also always love about IQVIA was that my leaders and people with which I have been working, they always respected a lot as well our personal lives. I never miss a parents’ meeting of my kids, and this is something that we shouldn’t be giving for granted.

Culture

Culture at IQVIA is built on a shared belief: that when people are empowered with better data, smarter technology and deeper expertise, they can change what’s possible for patients. Across every team and every corner of the globe, you’ll find colleagues who genuinely care — about the mission and about each other. That’s what makes this a place where people tend to stay, grow and do the best work of their careers.

Medical Biller/Claims Processing - Patient Support Representative (Home-Based)

Atlanta, United States of America | Home-based