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

IQVIA; Columbia (OH); Remote; USD 10,000 - 60,000; Full time

Job summary

IQVIA is seeking a Patient Support Medical/Biller Claims Processing Representative for a remote role. The position involves processing medical claims and providing payment assistance solutions. Candidates should have relevant certifications and experience in claims processing. This contract role has the potential to become full-time.

Qualifications

• Experience in claim processing required.
• Ability to interpret Explanation of Benefits (EOB).
• Customer Service Experience preferred.

Responsibilities

• Receiving medical claims from HCPs or patients.
• Vetting claims against business rules.
• Supporting customer requests via various contact methods.

Skills

Organizational Skills

Customer Service

Bilingual (English/Spanish)

Education

High School Diploma or equivalent

Medical Billing Certification

Coding Certification

HIPAA Certification

Job description

Join to apply for the Patient Support Medical/Biller Claims Processing Representative (Home-Based) role at IQVIA.

1 day ago Be among the first 25 applicants.

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

Patient Support Medical Claims Processing Representative

Contract Remote Role – Location (Open to Remote US)

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 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:

• Receiving medical claims from HCPs or patients, ensuring supporting documentation is provided, interpreting the EOB/CMS1500, vetting the claim against business rules, and determining if the claim should be paid or rejected.
• Exceptional organizational skills are required.
• Supporting customer requests via telephone, email, fax, or other contact methods to the Support Center.
• Recognizing operational challenges and suggesting recommendations to management.
• Working 40 hours per week (shifts available: 9:00 am – 6:00 pm EST, 10:00 am - 7:00 pm ET, or 11:00 am – 8:00 pm 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).
• HIPAA 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, you must reside in the same country where the job is located.

IQVIA is an Equal Opportunity Employer. We cultivate a diverse culture across over 100 countries, celebrating teamwork and inclusiveness. We create innovative solutions that benefit IQVIA, our clients, and healthcare worldwide. This is a contract role, with potential to become full-time.

Learn more at https://jobs.iqvia.com.

We are proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected status. Details at https://jobs.iqvia.com/eoe.