Virtual Care Navigator - (med 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 eob and cms1500 forms
Vet claims against business rules
IQVIA UK is seeking a fully remote Virtual Care Navigator responsible for providing payment assistance solutions and processing medical claims. The ideal candidate should have a medical billing certification and experience in claims processing, with strong organizational skills
Job Summary
The Care Navigator provides payment assistance solutions such as co-pay cards or vouchers to patients.
Primary responsibilities include receiving medical claims, ensuring adequate documentation, and vetting claims against program-specific business rules.
This is a 100% remote position requiring the ability to work 40 hours per week under moderate supervision.
Matching Summary
Match Score: 85
IQVIA UK is seeking a fully remote Virtual Care Navigator responsible for providing payment assistance solutions and processing medical claims. The ideal candidate should have a medical billing certification and experience in claims processing, with strong organizational skills.
Salary
Base: $23.00 - $24.00 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 EOB and CMS1500 forms
Vet claims against business rules
Determine claim payment or rejection
Nice-to-have
Exceptional organizational skills
Customer service experience preferred
Infusion or hospital billing experience
Pharmacy technician experience preferred
Key Requirements
High School Diploma or equivalent
Active Medical Billing Certification with CEUs
Experience in claim processing required
HIPPA trained
Must reside in country where job is posted
Work Rights
Must have authorization to work in the US without sponsorship