Medical Biller/Claims Processing – Patient Support Representative

🕒 October 1

🌵 Arizona, Nevada, +2 more states – Remote

🌵 Arizona – Remote 🎰 Nevada – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $23 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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IQVIA

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

🏭 Manufacturing

📣 Marketing

💰 $1G Post-IPO Debt on 2023-05

Consulting • Manufacturing • Marketing

IQVIA is a global leader in data analytics and technology solutions, dedicated to improving health outcomes. The company utilizes its Connected Intelligence platform to harness the power of advanced data analytics and artificial intelligence, facilitating innovation in healthcare. IQVIA focuses on various areas, including clinical research, technology, and consulting services to solve complex healthcare challenges and accelerate the delivery of new therapies to patients.

📋 Description

• Receive medical claims from healthcare providers 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 • Manage daily workload and prioritize tasks effectively • 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 • Meet daily productivity and quota expectations

🎯 Requirements

• 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 • Ability to work 40 hours per week under moderate supervision • Ability to adhere to HIPAA guidelines • Ability to meet daily productivity and quota expectations

🏖️ Benefits

• 100% remote (work from home) • Career development opportunities • Potential to convert to a full-time IQVIA employee • Health and welfare and/or other benefits may be offered • Incentive plans, bonuses, and/or other forms of compensation may be offered