Remote Patient Billing & Claims Specialist

IQVIA Argentina; San Antonio (TX); Remote; USD 30,000 - 33,000; Full time

Job summary

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote position open to remote US. The role supports patients with co-pay cards, vouchers, and claims, reviewing documentation and vetting claims per business rules.

Potential conversion to full-time IQVIA employment exists. Responsibilities include receiving claims, interpreting EOBs, ensuring HIPAA compliance, meeting productivity quotas, and providing multi-channel customer support.

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 calls) 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 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

Customer service

Call center

Interpreting EOBs

Claims processing

Revenue cycle

Education

High School Diploma

Medical Billing Program

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Microsoft Teams

Job description

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote position open to remote US. The role supports patients with co-pay cards, vouchers, and claims, reviewing documentation and vetting claims per business rules.

Potential conversion to full-time IQVIA employment exists. Responsibilities include receiving claims, interpreting EOBs, ensuring HIPAA compliance, meeting productivity quotas, and providing multi-channel customer support.