Patient Support Medical/biller Claims Processing Representative (home-based; 11am-8pm Est)

IQVIA

New Providence, United States
Base: $23.00 ph; bonus/equity: not specified; bene...
Fully remote
Vetting medical claims
Interpreting eob/cms1500
Program specific business rules
Provide payment assistance solutions such as co-pay cards or vouchers

Job Summary

  • Provide payment assistance solutions such as co-pay cards or vouchers.
  • 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.

Salary

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

Skills & Requirements

Must-have

  • Vetting medical claims
  • Interpreting EOB/CMS1500
  • Program specific business rules
  • Remote work from home
  • 11am-8pm EST shift

Nice-to-have

  • Customer service experience
  • Recognize operational challenges
  • Suggest recommendations to management
  • Bi-lingual English/Spanish

Key Requirements

  • High School Diploma or equivalent
  • Experience in claim processing
  • Medical Billing Certification
  • Coding Certification
  • HIPPA certified

Work Rights

Not specified

Tailored Resume

Cover Letter