Remote Patient Billing and Claims Specialist (Contract)

IQVIA Argentina; Seattle (WA); Remote; USD 32,000 - 39,000; 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 handle co-pay cards, vouchers, and claims support, receiving medical claims from providers or patients and reviewing documentation against program rules to determine payment or denial.

This contract role is managed by an external agency with potential to convert to full-time IQVIA employment.

Qualifications

• High School Diploma or equivalent required.
• Completion of Medical Billing program/degree or certified 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 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 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

Call center experience

Customer service

Revenue cycle experience

Education

High School Diploma or equivalent

Medical Billing program/degree or certification

Tools

Microsoft Office (Excel, Word, Outlook, Teams)

Job description

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote contract role in the United States. You will handle co-pay cards, vouchers, and claims support, receiving medical claims from providers or patients and reviewing documentation against program rules to determine payment or denial.

This contract role is managed by an external agency with potential to convert to full-time IQVIA employment.