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

IQVIA; Tampa (FL); Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Support Medical Claims Processing Representative for a fully remote position. This role involves assisting patients with payment solutions and managing medical claims. Ideal candidates will have a high school diploma, experience in claims processing, and certifications in medical billing and coding. Join a dynamic team focused on delivering exceptional patient support while enjoying the flexibility of working from home. This position offers the potential for full-time employment, making it a fantastic opportunity for those looking to grow in the healthcare sector.

Qualifications

• High School Diploma or equivalent required.
• Experience in claim processing preferred.
• Medical Billing and Coding Certifications are beneficial.

Responsibilities

• Receive and vet medical claims from HCPs or patients.
• Maintain exceptional organizational skills.
• Support customer requests via various contact methods.

Skills

Claim Processing

Customer Service

EOB Interpretation

Bilingual (English/Spanish)

Education

High School Diploma

Medical Billing Certification

Coding Certification

Job description

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Join to apply for the Patient Support Medical/Biller Claims Processing Representative (Home-Based) 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 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 we are currently 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:

• Receive medical claims from HCPs or patients, ensure supporting documentation is provided, interpret the EOB/CMS1500, and vet the claim against business rules to decide on payment or rejection.
• Maintain exceptional organizational skills.
• Support customer requests via phone, email, fax, or other contact methods to the Support Center.
• Recognize operational challenges and suggest recommendations to management.
• Work 40 hours per week with shifts available: 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 certified
• Customer Service Experience (preferred)
• Pharmacy Technician experience (preferred)
• Bilingual (English/Spanish) (preferred)

The pay range for this role is $23.00 per hour. To qualify, you must reside in the country where the job is located.

IQVIA is an Equal Opportunity Employer. We foster a diverse culture across more than 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 regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected status. More info at https://jobs.iqvia.com/eoe