Remote Patient Billing & Claims Specialist

IQVIA Holdings; Dallas (TX); Remote; USD 28,000 - 36,000; Full time

Benefits offered by this job

Remote work

Job summary

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote role in the United States. You will handle claims with co-pay cards and vouchers, review documentation, and apply program rules to decide payment eligibility.

This contract position is managed by an external agency with potential conversion to full-time IQVIA employment. You will interpret EOBs, verify insurance, and assist patients via multiple channels while meeting productivity targets and adhering to HIPAA.

Qualifications

• High School diploma or equivalent required.
• Completion of Medical Billing program or degree or license required.
• Experience in claim processing required.
• Ability to interpret EOBs required.
• Insurance verification experience required.
• Experience with payment postings required.
• Call center or customer service experience required.

Responsibilities

• Receive medical claims from healthcare providers or patients and ensure all required supporting documentation is provided.
• Interpret EOBs 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 propose solutions to management.
• Adhere to HIPAA guidelines.
• Prioritize tasks throughout the day.
• Meet daily productivity and quota expectations.

Skills

Claim processing

Interpret EOBs

Insurance verification

Payment postings

Call center customer service

HIPAA compliance

Education

High School Diploma or equivalent

Medical Billing program/degree/licence

Tools

Microsoft Office

Excel

Word

Outlook

Teams

Job description

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote role in the United States. You will handle claims with co-pay cards and vouchers, review documentation, and apply program rules to decide payment eligibility.

This contract position is managed by an external agency with potential conversion to full-time IQVIA employment. You will interpret EOBs, verify insurance, and assist patients via multiple channels while meeting productivity targets and adhering to HIPAA.