Remote Patient Billing & Claims Specialist

IQVIA Argentina; Houston (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. You will handle co-pay cards, vouchers, and claims support, reviewing documentation and applying program rules to approve or deny payments. The position offers potential conversion to full-time IQVIA employment.

You will work with claims from healthcare providers or patients, interpret EOBs, and ensure HIPAA compliance while meeting daily productivity targets.

Qualifications

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

Responsibilities

• Receive medical claims from healthcare providers 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

Call center experience

Attention to detail

Microsoft Office

HIPAA compliance

Education

High School Diploma or equivalent

Medical Billing Program or Certification

Tools

Microsoft Office

Job description

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote contract role. You will handle co-pay cards, vouchers, and claims support, reviewing documentation and applying program rules to approve or deny payments. The position offers potential conversion to full-time IQVIA employment.

You will work with claims from healthcare providers or patients, interpret EOBs, and ensure HIPAA compliance while meeting daily productivity targets.