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Medical Biller/Claims Processing - Patient Support Representative (Home-Based)

Role overview

Qualifications

  • High School Diploma or equivalent
  • Completion of Medical Billing Program or Medical Billing degree or Certified Medical Billing license
  • Experience in claim processing
  • Insurance verification experience

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
  • Provide support to customer inquiries via phone, email, fax, or other communication channels

Key facts

Other skills

  • Customer Service
  • Microsoft Office
  • Organizational Skills
  • Communication
  • Problem Solving
  • Time Management

About the company

IQVIA logo

IQVIA

Contract Research Organizations (CRO)

IQVIA (NYSE:IQV) is a leading global provider of advanced analytics, technology solutions, and clinical research services to the life sciences industry. IQVIA creates intelligent connections across all aspects of healthcare through its analytics, transformative technology, big data resources and extensive domain expertise. IQVIA Connected Intelligenceβ„’ delivers powerful insights with speed and agility β€” enabling customers to accelerate the clinical development and commercialization of innovative medical treatments that improve healthcare outcomes for patients. With approximately 86,000 employees, IQVIA conducts operations in more than 100 countries. IQVIA is a global leader in protecting individual patient privacy. The company uses a wide variety of privacy-enhancing technologies and safeguards to protect individual privacy while generating and analyzing information on a scale that helps healthcare stakeholders identify disease patterns and correlate with the precise treatment path and therapy needed for better outcomes. IQVIA’s insights and execution capabilities help biotech, medical device and pharmaceutical companies, medical researchers, government agencies, payers and other healthcare stakeholders tap into a deeper understanding of diseases, human behaviors and scientific advances, in an effort to advance their path toward cures. To learn more, visit www.iqvia.com.

Company details

Company typeLarge
IndustryContract Research Organizations (CRO)
Company size10001

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Job description

Patient Support Medical Billing Representative  

Contract Remote Role – Location (Open to Remote US)   

  

At IQVIA, we are driven by a shared purpose: to improve patients’ lives through innovative healthcare solutions. As a global leader in commercial services, we bring life-changing therapies and support programs to the people who need them most. Our workplace is rooted in belonging, collaboration, and continuous improvementβ€”where every team member is empowered to make an impact. 

As a Patient Support Medical Billing Representative, you’ll be part of a team that delivers meaningful assistance to patients through co-pay cards, vouchers, and claims support. We invest in your success with career development opportunities and a culture that values client focus, flawless execution, teamwork, integrity, and results. 

 

We are excited to announce an opening for a 100% remote (work from home) Patient Support Medical Billing Representative to join our team! In this role, you will provide payment assistance solutions such as co-pay cards or vouchers to patients. Your primary responsibility will be to receive medical claims from healthcare providers (HCPs) or patients, review supporting documentation, and vet each claim against program-specific business rules to determine whether it should be paid or rejected. This is a contract position with IQVIA, managed by an external agency, with the potential to convert to a full-time IQVIA employee. 

 

Job 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. 

 

Minimum Education & Experience 

  • 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  

The pay range for this role is $23.00 per hour.

IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere.  This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

#LI-CES

#LI-Remote

#LI-DNP

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.

The potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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