Base: $23.00 - $24.00 ph; bonus/equity: not specif...
Fully remote
Claim vetting against business rules
Interpret explanation of benefits (eob)
Hipaa trained
IQVIA Inc is seeking a Care Navigator for a fully remote position to provide payment assistance solutions, primarily focused on claim processing. The ideal candidate should have a Medical Billing Certification, experience in claim processing, and the ability to interpret medical claims and documentation
Job Summary
Provide payment assistance solutions such as co-pay cards or vouchers.
Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring adequate supporting documentation, interpreting EOB/CMS1500, vetting claims against program specific business rules, and determining payment or rejection.
Requires the ability to recognize operational challenges and suggest recommendations to management.
Matching Summary
Match Score: 85
IQVIA Inc is seeking a Care Navigator for a fully remote position to provide payment assistance solutions, primarily focused on claim processing. The ideal candidate should have a Medical Billing Certification, experience in claim processing, and the ability to interpret medical claims and documentation.
Salary
Base: $23.00 - $24.00 per hour; Bonus/Equity: Not specified; Benefits: Not specified