Patient Support Medical/biller Claims Processing Representative (home-based)

IQVIA

Remote US
Base: $23.00 ph; bonus/equity: not specified; bene...
Fully remote
Medical claims processing
Vetting claims against business rules
Interpreting eob/cms1500
Provide payment assistance solutions such as co-pay cards or vouchers to patients in need of available therapies

Job Summary

  • Provide payment assistance solutions such as co-pay cards or vouchers to patients in need of available therapies.
  • 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 full-time employee.

Matching Summary

Provide payment assistance solutions such as co-pay cards or vouchers to patients in need of available therapies.

Salary

Base: $23.00 per hour; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Medical claims processing
  • Vetting claims against business rules
  • Interpreting EOB/CMS1500
  • Provide payment assistance solutions
  • Work from home

Nice-to-have

  • Customer service experience
  • Pharmacy technician experience
  • Suggest recommendations to management
  • Bi-lingual (English/Spanish)

Key Requirements

  • High School Diploma or equivalent
  • Claim processing experience
  • Medical Billing Certification
  • Coding Certification
  • HIPAA certified

Work Rights

Must reside in the same country where the job is located

Tailored Resume

Cover Letter