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

IQVIA; Dallas (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is looking for a dedicated Patient Support Medical Claims Processing Representative for a remote role. This exciting opportunity involves processing medical claims, verifying documentation, and providing excellent customer support. You'll play a crucial role in assisting patients with payment solutions and ensuring claims are handled efficiently. The position offers a flexible work-from-home environment, with the potential for full-time employment. Join a diverse team and contribute to improving patient access to vital therapies in a supportive and innovative setting.

Qualifications

• Experience in claim processing and customer service preferred.
• Ability to interpret Explanation of Benefits (EOB).

Responsibilities

• Receive and verify medical claims from HCPs or patients.
• Support customer requests via phone, email, or fax.
• Identify operational challenges and recommend improvements.

Skills

Claim Processing

Customer Service

Bilingual (English/Spanish)

Education

High School Diploma

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.

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Patient Support Medical Claims Processing Representative

Contract Remote Role – Location (Open to Remote US)

IQVIA is a global provider of commercial solutions, helping biopharma, medical device, and diagnostic companies deliver therapies to patients. We support customer market access and demonstrate product value to payers, physicians, and patients. A key part of our business is providing patient support programs.

Our Commercial Sales & Medical Solutions (CSMS) organization, with over 10,000 professionals in more than 30 countries, focuses on patient support, sales, medical device support, clinical support, and medical affairs.

We are seeking a remote (work from home) Patient Support Medical Claims Processing Representative. You will assist with payment solutions like co-pay cards or vouchers, process medical claims from HCPs or patients, and determine claim validity based on business rules. This is a contract role with potential for full-time employment with IQVIA.

Job Responsibilities:

1. Receive medical claims from HCPs or patients, verify documentation, interpret EOB/CMS1500, and decide if claims should be paid or rejected.
2. Maintain excellent organizational skills.
3. Support customer requests via phone, email, fax, or other channels.
4. Identify operational challenges and recommend improvements.
5. Work 40 hours weekly, with shifts at 9:00 am – 6:00 pm EST, 10:00 am – 7:00 pm EST, or 11:00 am – 8:00 pm EST, under moderate supervision.

Minimum Education & Experience:

• High School Diploma or equivalent.
• Experience in claim processing.
• Medical Billing Certification.
• Coding Certification.
• Ability to interpret Explanation of Benefits (EOB).
• HIPAA certification.
• Customer Service experience (preferred).
• Pharmacy Technician experience (preferred).
• Bilingual (English/Spanish) (preferred).

The pay rate is $23.00/hour. You must reside in the country where the job is located.

IQVIA is an Equal Opportunity Employer promoting diversity and inclusion. This contract role may convert to a full-time position.

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