Medical Biller, Claims Processing – Patient Support Representative

🔥 3 hours ago

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IQVIA

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 HCPs or patients • Ensure adequate supporting documentation has been provided • Interpret EOB/CMS1500 documentation • Vet claims against program-specific business rules • Determine whether claims should be paid or rejected • Provide payment assistance solutions such as co-pay cards or vouchers • Support customer requests via telephone, email, fax, or other available contact methods • Recognize operational challenges and suggest recommendations to management

🎯 Requirements

• 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 • Ability to work 40 hours per week • Ability to work the 10:00am–7:00pm ET shift • Customer Service Experience preferred • Pharmacy Technician experience preferred • Bi-lingual (English/Spanish) preferred • Must reside in the same country where the job is located

🏖️ Benefits

• 100% remote (work from home—WFH) • Opportunity to be converted to an IQVIA full-time employee • Health and welfare and/or other benefits may be offered • Incentive plans, bonuses, and/or other forms of compensation may be offered

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