Remote Medical Billing & Claims Specialist - Patient Support

IQVIA Argentina; Houston (TX); On-site; USD 26,000 - 37,000; Full time

Job summary

IQVIA is hiring a Patient Support Medical Billing Representative for a 100% remote role open to Remote US. You will receive medical claims, review documentation, and apply program rules to decide payment or rejection, with potential for full-time conversion.

40 hours weekly, HIPAA-compliant, and focus on co-pay cards, vouchers, and claims support. The role requires Medical Billing training/degree, claim processing experience, and strong communication within a call-center style environment.

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 Required
• Revenue cycle experience Preferr ed
• 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 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 organizational skills to manage daily workload.
• Provide support to customer inquiries via phone, email, fax, or other 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

Call center experience

Customer service

Attention to detail

Communication skills

Education

High School Diploma

Medical Billing Certification

Tools

Excel

Outlook

Teams

Job description

IQVIA is hiring a Patient Support Medical Billing Representative for a 100% remote role open to Remote US. You will receive medical claims, review documentation, and apply program rules to decide payment or rejection, with potential for full-time conversion.

40 hours weekly, HIPAA-compliant, and focus on co-pay cards, vouchers, and claims support. The role requires Medical Billing training/degree, claim processing experience, and strong communication within a call-center style environment.