Remote Patient Billing & Claims Specialist

DaMar Staffing; Atlanta (GA); On-site; USD 26,000 - 37,000; Full time

Job summary

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote contract role open to Remote US. You will handle co-pay cards, vouchers, and claims support, reviewing documentation and applying business rules to approve or reject claims.

This role requires strong claims processing and HIPAA adherence, with 40 hours weekly under moderate supervision. Candidates should have a Medical Billing program or degree, or a certified billing license, and experience in claim processing,

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

Interpret EOBs

HIPAA compliance

Customer service

Call center experience

Microsoft Office

Time management

Education

High School Diploma

Medical Billing Program

Medical Billing degree

Certified Medical Billing license

Job description

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote contract role open to Remote US. You will handle co-pay cards, vouchers, and claims support, reviewing documentation and applying business rules to approve or reject claims.

This role requires strong claims processing and HIPAA adherence, with 40 hours weekly under moderate supervision. Candidates should have a Medical Billing program or degree, or a certified billing license, and experience in claim processing,