Medical Biller, Claims Processing – Patient Support Representative

🕒 3 days ago

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Logo of IQVIA

IQVIA

10,000+ employees

⚕️ Healthcare Insurance

🧬 Biotechnology

🤖 Artificial Intelligence

💰 $1G Post-IPO Debt on 2023-05

Healthcare Insurance • Biotechnology • Artificial Intelligence

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 HCPs or patients • Vetting claims against program specific business rules • Determine if claims should be paid or rejected • Provide support for customer requests via phone, email, fax, or other means of contact • Suggest recommendations to management for operational challenges • Ability to work 40 hours per week (shift available: 10:00am - 7:00pm ET)

🎯 Requirements

• High School Diploma or equivalent • Experience in claim processing • Medical Billing Certification required • Coding Certification required • Ability to interpret Explanation of Benefits (EOB) • HIPAA certified • Customer Service Experience preferred • Pharmacy Technician experience preferred • Bi-lingual (English/Spanish) preferred

🏖️ Benefits

• Health insurance • Retirement plans • Professional development • Paid time off • Remote work options

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