Remote Patient Billing Specialist - Claims & Co-Pay Support

IQVIA Argentina; Louisville (KY); Remote; USD 28,000 - 36,000; Full time

Job summary

IQVIA is seeking a 100% remote Patient Support Medical Billing Representative to handle co-pay cards, vouchers, and claims support. You will review medical claims, verify documentation, and apply program rules to approve or deny payments, under a contract managed by an external agency with potential for full-time conversion.

The role requires a Medical Billing background, strong claims processing skills, and the ability to navigate EOBs and CMS-1500 forms.

Qualifications

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

Responsibilities

• Receive claims from healthcare providers or patients and verify all supporting documentation.
• Interpret EOBs and CMS-1500 forms.
• Evaluate claims against program rules to determine approval or rejection.
• Maintain organization and manage daily workload.
• Provide support to customers via phone, email, fax, or other channels.
• Identify operational challenges and suggest solutions to management.
• Adhere to HIPAA guidelines.
• Prioritize tasks and meet daily productivity quotas.
• Work 40 hours per week under moderate supervision.

Skills

Call center experience

Customer service experience

Education

High School Diploma or equivalent

Medical Billing program/degree or certified billing license

Tools

Microsoft Office (Excel, Word, Outlook, Teams)

Job description

IQVIA is seeking a 100% remote Patient Support Medical Billing Representative to handle co-pay cards, vouchers, and claims support. You will review medical claims, verify documentation, and apply program rules to approve or deny payments, under a contract managed by an external agency with potential for full-time conversion.

The role requires a Medical Billing background, strong claims processing skills, and the ability to navigate EOBs and CMS-1500 forms.