Remote Patient Billing & Claims Specialist

IQVIA Argentina; Cincinnati (OH); Remote; USD 28,000 - 36,000; Full time

Job summary

IQVIA is seeking a Patient Support Medical Billing Representative for a remote contract role. You will handle co-pay cards, vouchers, and claims support, processing medical claims from providers or patients and reviewing documentation for program rules.

Responsibilities include interpreting EOBs and CMS-1500 forms, ensuring required documentation, HIPAA compliance, and meeting daily productivity targets while working 40 hours per week under moderate supervision.

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.
• 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.

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 experience

Call center experience

Microsoft Office proficiency

Education

High School Diploma or equivalent

Medical Billing program/degree/licensure

Tools

Microsoft Office Suite

Job description

IQVIA is seeking a Patient Support Medical Billing Representative for a remote contract role. You will handle co-pay cards, vouchers, and claims support, processing medical claims from providers or patients and reviewing documentation for program rules.

Responsibilities include interpreting EOBs and CMS-1500 forms, ensuring required documentation, HIPAA compliance, and meeting daily productivity targets while working 40 hours per week under moderate supervision.