Remote Patient Billing & Claims Specialist

IQVIA Argentina

Indianapolis (IN)

Remote

USD 32,000 - 39,000

Full time

4 days ago
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Job summary

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote role open to remote US. The position focuses on processing claims, applying program rules, and providing payment assistance to patients using co-pay cards or vouchers.

In this contract role (with potential to convert to a full-time IQVIA employee), you will review documentation, interpret EOBs, verify insurance, and communicate with healthcare providers and patients to resolve billing questions.

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 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

Call center
Customer service
Claim processing
EOB interpretation
Insurance verification
Payment postings
Microsoft Office

Education

High School Diploma or equivalent
Medical Billing Program/Certification

Tools

Excel
Word
Outlook
Teams

Job description

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote role open to remote US. The position focuses on processing claims, applying program rules, and providing payment assistance to patients using co-pay cards or vouchers.

In this contract role (with potential to convert to a full-time IQVIA employee), you will review documentation, interpret EOBs, verify insurance, and communicate with healthcare providers and patients to resolve billing questions.

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