Patient Support Medical/Biller Claims Processing Representative

IQVIA; Houston (TX); Remote; USD 48,000 - 64,000; Full time

Job summary

IQVIA is seeking a Patient Support Medical/Biller Claims Processing Representative to join the remote team. The role includes processing medical claims, interpreting insurance benefits, and assisting patients with payment solutions. Candidates should have a high school diploma, medical billing certification, and experience in claims processing.

Qualifications

• Experience in claim processing required.
• HIPAA certified.
• Ability to interpret Explanation of Benefits (EOB).

Responsibilities

• Receive medical claims from HCPs or patients, vetting them against program rules.
• Ensure adequate supporting documentation and determining claim approval.
• Provide payment assistance solutions such as co-pay cards.

Skills

Customer Service

Claims Processing

Attention to Detail

Bilingual (English/Spanish)

Education

High School Diploma or equivalent

Medical Billing Certification

Coding Certification

Job description

Join to apply for the Patient Support Medical/Biller Claims Processing Representative role at IQVIA

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Join to apply for the Patient Support Medical/Biller Claims Processing Representative role at IQVIA

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product’s value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world’s largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs. We are excited to announce that currently we are looking for a 100% remote (work from home—WFH) contact Patient Support Medical Claims Processing Representative to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Patient Support Call Center Representative is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected. 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. Job Responsibilities: Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected. Exceptional organizational skills are required. May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center. Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary. Ability to work 40 hours per week (shifts available: 9:00 am – 6:00 pm EST or, 10:00 am - 7:00 pm ET or, 11:00 am EST – 8:00pm EST) under moderate supervision. Minimum Education & Experience: High School Diploma or equivalent. Experience in claim processing required. Medical Billing Certification required. Coding Certification required. Ability to interpret Explanation of Benefits (EOB). HIPPA certified. Customer Service Experience preferred. Pharmacy Technician experience preferred. Bi-lingual (English/Spanish) preferred. The pay range for this role is $23.00 per hour. To be eligible for this position, you must reside in the same country where the job is located. 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.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing and Finance

• Industries

  Hospitals and Health Care

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