Remote Patient Billing & Claims Specialist

IQVIA Argentina; Phoenix (AZ); On-site; USD 32,000 - 34,000; Full time

Job summary

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote role in the United States. You will handle co-pay cards, vouchers, and claims support, reviewing documentation and vetting claims against business rules to determine payment or rejection.

This contract position may convert to full-time with IQVIA. Expect to process provider-claimed submissions, interpret EOBs, and maintain strong organizational skills to manage daily workload.

Qualifications

• High school diploma or equivalent required.
• Completion of Medical Billing program/degree or billing license required.
• Experience in healthcare claims 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.

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 organization to manage daily workload.
• Provide support to customer inquiries via phone, email, fax, or other channels.
• Identify operational challenges and recommend solutions to management as needed.
• Adhere to HIPAA guidelines.
• Prioritize tasks and meet daily productivity and quota expectations.
• Work 40 hours per week under moderate supervision.

Skills

Call center experience

Customer service

Claims processing

Insurance verification

Payments posting

Microsoft Office

Education

High School Diploma or equivalent

Medical Billing Program or degree

Certified Medical Billing license

Tools

Microsoft Excel

Microsoft 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 co-pay cards, vouchers, and claims support, reviewing documentation and vetting claims against business rules to determine payment or rejection.

This contract position may convert to full-time with IQVIA. Expect to process provider-claimed submissions, interpret EOBs, and maintain strong organizational skills to manage daily workload.