Medical BillerClaims Processing Patient Support Representative (Home-Based)
Job Location:
New Providence, NJ - USA
Hourly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
Patient SupportMedicalBillingRepresentative
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 improvementwhere every team member is empowered to make an impact.
As aPatient Support Medical Billing Representativeyoullbe part of a team that delivers meaningfulassistanceto patients through co-pay cards vouchers andclaimssupport. 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 a100% remote (work from home)Patient Support Medical Billing Representativeto join our team!In this role you will provide paymentassistancesolutions 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 todeterminewhether it should be paid or rejected.
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 todetermineapproval or rejection.
Maintain exceptional organizational skills to manage dailyworkload.
Provide support to customer inquiries via phone email fax or other communication channels.
Identifyoperational challenges and recommend solutions to management as needed.
Adhere to HIPAA guidelines.
Prioritize tasks effectively throughout the day.
Meet daily productivity and quota expectations.
Work40 hoursper 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 Billinglicense
Experience in claim processing Required
Ability to interpret EOBs Required
Insurance verificationexperience Required
Experience with payment postings Required
Callcentercustomer service experience (inbound/outbound calls) Required
Revenue cycle experience Preferred
Proficiencyin 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
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. 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.Required Experience:
Unclear Seniority
About Company
IQVIA is the Human Data Science Company™. We are inspired by the industry we serve and provide solutions that enable life sciences companies to innovate with confidence, maximize opportunities and ultimately drive human health outcomes forward. Our approach is Human Data Science – a d ... View more
