Remote Medical Billing & Claims Specialist — Contract

IQVIA; United States; Hybrid; USD 26,000 - 37,000; Full time

Job summary

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote contract role in the United States. You will process medical claims, interpret EOBs, verify insurance, and ensure proper documentation while adhering to HIPAA, with daily 40-hour workload expectations.

This position offers potential conversion to full-time employment. We value collaboration, client focus, and flawless execution as part of our diverse, inclusive culture.

Qualifications

• High School Diploma or equivalent Required
• Completion of Medical Billing Program or Medical Billing degree or Certified Medical Billing license Required
• Experience in claim processing Required
• Ability to interpret EOBs Required
• Insurance verification experience Required
• Experience with payment postings Required
• Call center, customer service experience (inbound/outbound calls) Required
• Revenue cycle experience Preferred
• Proficiency in Microsoft Office (Excel, Word, Outlook, Teams) Preferred
• Experience with secondary and tertiary billing Preferred
• Familiarity with complex insurance scenarios Preferred
• Experience with multi-layered billing processes Preferred

Responsibilities

• Receive medical claims from healthcare providers (HCPs) or patients and ensure all required supporting documentation is provided.
• Interpret Explanation of Benefits (EOB) and CMS-1500 forms.
• Evaluate claims against program-specific business rules to determine approval or rejection.
• Maintain exceptional organizational skills to manage daily workload.
• Provide support to customer inquiries via phone, email, fax, or other communication channels.
• Identify operational challenges and recommend solutions to management as needed.
• Adhere to HIPAA guidelines.
• Prioritize tasks effectively throughout the day.
• Meet daily productivity and quota expectations.
• Work 40 hours per week under moderate supervision.

Skills

Customer service

Interpret EOBs

Organization

Education

High School Diploma or equivalent

Medical Billing program/degree/license

Claim processing experience

EOB interpretation

Insurance verification

Payment postings

Call center experience

Revenue cycle (pref)

Microsoft Office (Excel/Word/Outlook/Teams) (pref)

Secondary/tertiary billing (pref)

Complex insurance scenarios (pref)

Multi-layered billing processes (pref)

Tools

Microsoft Office

Job description

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote contract role in the United States. You will process medical claims, interpret EOBs, verify insurance, and ensure proper documentation while adhering to HIPAA, with daily 40-hour workload expectations.

This position offers potential conversion to full-time employment. We value collaboration, client focus, and flawless execution as part of our diverse, inclusive culture.