Remote Patient Billing & Claims Specialist

IQVIA Argentina; New Providence (NJ); On-site; USD 45,000 - 52,000; Part time

Job summary

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote role in the US. You will handle co-pay cards, vouchers, and claims support, reviewing documents and applying program rules to pay or deny claims.

Expect remote collaboration and strict adherence to HIPAA while meeting daily quotas. The position requires a Medical Billing program/degree or certification, claim processing experience, and proficiency with EOBs, insurance verification, and Microsoft Office.

Qualifications

• High School diploma or equivalent required.
• Completion of Medical Billing program or degree or certification required.
• Experience in claim processing required.
• Ability to interpret EOBs required.
• Insurance verification experience required.
• Experience with payment postings required.
• Call center or inbound/outbound customer service experience required.
• Revenue cycle experience preferred.
• Proficiency in Microsoft Office (Excel, Word, Outlook, Teams) preferred.
• Experience with secondary and tertiary billing preferred.
• Familiarity with complex insurance scenarios preferred.
• Experience with multi-layered billing processes preferred.

Responsibilities

• Receive medical claims from providers or patients and review supporting documentation.
• 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 recommend solutions to management.
• Adhere to HIPAA guidelines.
• Prioritize tasks and meet daily productivity and quota.
• Work 40 hours per week under moderate supervision.

Skills

Call center experience

Payment postings

Insurance verification

EOB interpretation

Customer service

Microsoft Office

Revenue cycle

Multi-layered billing

Complex insurance scenarios

Remote work

Education

High School Diploma or equivalent

Medical Billing Program/Degree/Certification

Tools

Excel

Word

Outlook

Teams

Job description

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote role in the US. You will handle co-pay cards, vouchers, and claims support, reviewing documents and applying program rules to pay or deny claims.

Expect remote collaboration and strict adherence to HIPAA while meeting daily quotas. The position requires a Medical Billing program/degree or certification, claim processing experience, and proficiency with EOBs, insurance verification, and Microsoft Office.