Care Navigator - Billing Certificate Required

IQVIA UK

Base: $23.00 - $24.00 ph; bonus/equity: not specif...
Fully remote
Receive medical claims from hcps or patients
Interpret explanation of benefits (eob)
Vet claims against program specific business rules
The Care Navigator provides payment assistance solutions such as co-pay cards or vouchers to patients

Job Summary

  • The Care Navigator provides payment assistance solutions such as co-pay cards or vouchers to patients.
  • Primary responsibilities involve receiving medical claims, vetting them against business rules, and determining if they should be paid or rejected.
  • Candidates must reside in the country where the job is posted and have authorization to work in the US without sponsorship.

Matching Summary

The Care Navigator provides payment assistance solutions such as co-pay cards or vouchers to patients.

Salary

Base: $23.00 - $24.00 per hour; Bonus/Equity: Not specified; Benefits: Range of 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 program specific business rules
  • Ensure adequate supporting documentation provided

Nice-to-have

  • Exceptional organizational skills required
  • Recognize operational challenges and suggest recommendations
  • Support customer requests via telephone email fax

Key Requirements

  • High School Diploma or equivalent
  • Active Medical Billing Certification with CEUs up to date
  • Experience in claim processing required
  • HIPPA trained
  • Must reside in country where job is posted
  • Authorization to work in US without sponsorship

Work Rights

Must have authorization to work in US without need for sponsorship

Tailored Resume

Cover Letter