Remote Patient Billing Specialist – Claims & Support

5PY IQVIA RDS Inc.; United States; Remote; USD 26,000 - 37,000; Full time

Job summary

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote, US-based role. You will assist patients with co-pay cards, vouchers, and claims, review documents, and determine pay or reject based on program rules.

Responsibilities include receiving claims, interpreting EOBs, adhering to HIPAA, handling inquiries via multiple channels, and meeting daily productivity. The role pays $23 per hour with benefits and growth opportunities.

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 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.
• Must currently be working on PSS Biller project contracted with IQVIA.

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

Payment postings

Co-pay assistance

Customer service

EOB interpretation

HIPAA compliance

Microsoft Office

Remote work

Education

High School Diploma or equivalent

Medical Billing program/degree/certification

Claim processing experience

Insurance verification experience

Payment postings experience

Call center/customer service experience

Microsoft Office proficiency

Secondary/tertiary billing experience

Multi-layered billing processes

PSS Biller project with IQVIA

Job description

IQVIA is seeking a Patient Support Medical Billing Representative for a 100% remote, US-based role. You will assist patients with co-pay cards, vouchers, and claims, review documents, and determine pay or reject based on program rules.

Responsibilities include receiving claims, interpreting EOBs, adhering to HIPAA, handling inquiries via multiple channels, and meeting daily productivity. The role pays $23 per hour with benefits and growth opportunities.