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

IQVIA; Phoenix (AZ); Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a detail-oriented Patient Support Medical Claims Processing Representative for a remote role. In this position, you will process medical claims, ensuring compliance with business rules and regulations while providing exceptional customer service. This contract role offers the potential for full-time employment, making it an exciting opportunity for those looking to advance their career in the medical billing field. Join a diverse team dedicated to supporting patients and healthcare providers with innovative solutions.

Qualifications

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

Responsibilities

• Process medical claims ensuring proper documentation and assessment.
• Support customer requests via phone, email, or fax.

Skills

Medical Claims Processing

Customer Service

HIPAA Compliance

Bilingual (English/Spanish)

Education

High School Diploma

Medical Billing Certification

Coding 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, as the world's largest provider of commercial solutions, helps biopharma, medical device, and diagnostic companies deliver therapies to patients. We support market access, insight, and demonstrate product value to payers, physicians, and patients. A key part of our business involves providing patient support programs.

Our CSMS division, with over 10,000 professionals across 30+ countries, focuses on patient support, sales, medical device support, clinical support, and medical affairs.

We are seeking a remote Patient Support Medical Claims Processing Representative to join our team. In this role, 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 specific business rules. This is a contract position with potential for full-time employment at IQVIA.

Job Responsibilities:

• Process medical claims from HCPs or patients, ensuring proper documentation, interpreting EOB/CMS1500, and assessing claims against business rules for payment or rejection.
• Maintain excellent organizational skills.
• Support customer requests via phone, email, fax, or other channels.
• Identify operational challenges and recommend improvements.
• Work 40 hours per week, with shifts available from 9:00 am to 8:00 pm EST.

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 certification.
• Customer Service experience preferred.
• Pharmacy Technician experience preferred.
• Bilingual (English/Spanish) preferred.

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

IQVIA is an Equal Opportunity Employer, fostering diversity and inclusiveness across its global operations. This role is a contract position managed by an external agency, with potential for full-time conversion.

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

IQVIA is committed to equal employment opportunity regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected categories. More info at https://jobs.iqvia.com/eoe.