Care Navigator - Billing Certificate Required

IQVIA Inc

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 business rules
The Care Navigator provides payment assistance solutions such as co-pay cards or vouchers to patients and healthcare providers

Job Summary

  • The Care Navigator provides payment assistance solutions such as co-pay cards or vouchers to patients and healthcare providers.
  • Primary responsibilities involve receiving medical claims, vetting them against specific business rules, and determining if they should be paid or rejected.
  • Candidates must possess exceptional organizational skills and the ability to work 40 hours per week under moderate supervision.

Matching Summary

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

Salary

Base: $23.00 - $24.00 per hour; Bonus/Equity: Not specified; Benefits: Health and welfare and/or other benefits offered

Skills & Requirements

Must-have

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

Nice-to-have

  • Infusion or Hospital Billing Experience
  • Customer Service Experience preferred
  • Pharmacy Technician experience preferred
  • Recognize operational challenges and suggest recommendations

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 the US without need for sponsorship

Tailored Resume

Cover Letter