Patient Support Medical/Biller Claims Processing Representative (Home-Based)
Patient Support Medical/Biller Claims Processing Representative (Home-Based)
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Job Description
Patient Support Medical Claims Processing Representative
Contract Remote Role Location (Open to Remote US)
As the only global provider of commercial solutions IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their products value to payers physicians and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience you can help provide support to patients in need of available therapies.
IQVIA has the worlds largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support field/inside sales medical device support clinical support and medical affairs our CSMS division has 10000 field professionals in more than 30 countries addressing physician and patient needs.
We are excited to announce that currently we are looking for a 100% remote (work from homeWFH) contact Patient Support Medical Claims Processing Representative to join our team. In this position you will provide payment assistance solutions such as copay cards or vouchers. The Patient Support Call Center Representative is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected. This role will be a contract role with IQVIA managed by an external agency with the opportunity to be converted to an IQVIA fulltime employee.
Job Responsibilities:
- Primary responsibilities involve receiving medical claims from HCPs or patients ensuring the adequate supporting documentation has been provided interpreting the EOB/CMS1500 vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected
- Exceptional organizational skills are required
- May provide support as needed for customer requests via telephone email fax or other available means of contact to the Support Center
- Requires the ability to recognize operational challenges and suggest recommendations to management as necessary
- Ability to work 40 hours per week (shifts available: 8:00 am 5:00 pm EST 9:00 am 6:00 pm EST or 10:00 am 7:00 pm EST or 11:00 am 8:00pm EST) under moderate supervision
Minimum Education & Experience:
- High School Diploma or equivalent
- Experience in claim processing required
- Medical Billing Certification required
- Coding Certification required
- Ability to interpret Explanation of Benefits (EOB)
- HIPPA certified
- Customer Service Experience preferred
- Pharmacy Technician experience preferred
- Bilingual (English/Spanish) preferred
The pay range for this role is $23.00 per hour. To be eligible for this position you must reside in the same country where the job is located.
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 fulltime employee.
#LICES
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
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. 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 jobrelated qualifications such as knowledge skills education and experience; location; and/or schedule (full or parttime). 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.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
