Medical Biller/claims Processing - Patient Support Representative (remote; 10am-7pm Est)

IQVIA Inc

Remote, US
Base: $23.00 ph; bonus/equity: not specified; bene...
Fully remote
Receive medical claims from hcps or patients
Interpret explanation of benefits (eob)
Vet claims against business rules
This role involves providing payment assistance solutions such as co-pay cards or vouchers for patients needing therapies

Job Summary

  • This role involves providing payment assistance solutions such as co-pay cards or vouchers for patients needing therapies.
  • The representative is responsible for receiving medical claims, vetting them against specific business rules, and determining payment eligibility.
  • The position offers a contract opportunity with IQVIA managed by an external agency, with potential conversion to full-time employment.

Matching Summary

This role involves providing payment assistance solutions such as co-pay cards or vouchers for patients needing therapies.

Salary

Base: $23.00 per hour; Bonus/Equity: Not specified; Benefits: Health and welfare and/or other benefits

Skills & Requirements

Must-have

  • Receive medical claims from HCPs or patients
  • Interpret Explanation of Benefits (EOB)
  • Vet claims against business rules
  • Ensure adequate supporting documentation

Nice-to-have

  • Customer service experience preferred
  • Pharmacy technician experience preferred
  • Bi-lingual English/Spanish skills
  • Suggest operational recommendations to management

Key Requirements

  • High School Diploma or equivalent
  • Medical Billing Certification required
  • Coding Certification required
  • HIPAA certification required
  • Experience in claim processing required

Work Rights

Must reside in the same country where the job is located

Tailored Resume

Cover Letter