Remote Patient Billing & Claims Specialist

IQVIA Argentina; Dallas (TX); Remote; USD 28,000 - 36,000; 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, review documentation, and vet claims against business rules to determine payment or rejection.

Potential to convert to full-time IQVIA employee. Responsibilities include receiving claims, interpreting EOBs, and maintaining productivity while adhering to HIPAA guidelines.

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 Explanation of Benefits (EOBs) required.
• Insurance verification experience required.
• Experience with payment postings required.
• Call center or customer service experience required.
• Revenue cycle experience preferred.
• Proficiency in Microsoft Office (Excel/Word/Outlook/Teams) preferred.

Responsibilities

• Receive medical claims from healthcare providers or patients and ensure all required supporting documentation is provided.
• Interpret EOB and CMS-1500 forms.
• Evaluate claims against program-specific business rules to determine approval or rejection.
• Maintain strong 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.
• Adhere to HIPAA guidelines.
• Meet daily productivity and quota expectations.
• Work 40 hours per week under moderate supervision.

Skills

Call center experience

Medical billing knowledge

Customer service

HIPAA awareness

EOB interpretation

Education

High School Diploma or equivalent

Medical Billing program or degree or license

Tools

Microsoft Office

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, review documentation, and vet claims against business rules to determine payment or rejection.

Potential to convert to full-time IQVIA employee. Responsibilities include receiving claims, interpreting EOBs, and maintaining productivity while adhering to HIPAA guidelines.