Remote Patient Billing & Claims Specialist

IQVIA; Salt Lake City (UT); Remote; USD 26,000 - 37,000; Full time

Job summary

IQVIA is seeking a Patient Support Medical Billing Representative for a contract remote role open to candidates in the United States. You will handle co-pay cards, vouchers, and claims support, receiving medical claims from providers or patients and applying program rules to pay or reject accordingly.

Responsibilities include reviewing EOBs, CMS-1500 forms, and posting payments while maintaining HIPAA guidelines.

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 (inbound/outbound) 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 channels.
• 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 experience

Customer service

Attention to detail

Time management

Education

High School Diploma or equivalent

Medical Billing Program

Certified Medical Billing license

Tools

Microsoft Office

Job description

IQVIA is seeking a Patient Support Medical Billing Representative for a contract remote role open to candidates in the United States. You will handle co-pay cards, vouchers, and claims support, receiving medical claims from providers or patients and applying program rules to pay or reject accordingly.

Responsibilities include reviewing EOBs, CMS-1500 forms, and posting payments while maintaining HIPAA guidelines.