Overview Medical Biller/Claims Processing - Patient Support Representative (Work from Home) at IQVIA. This remote contract role supports patient and healthcare payer interactions, including payment assistance solutions such as co-pay cards or vouchers. The position may convert to a full-time role at IQVIA. Job Responsibilities Receive medical claims from HCPs or patients, ensure adequate supporting documentation is provided, interpret the EOB/CMS1500, and determine if the claim should be paid or rejected based on program-specific business rules. Provide exceptional organizational support and assist customer requests via telephone, email, fax, or other available channels to the Support Center as needed. Identify operational challenges and suggest recommendations to management as necessary. Work 40 hours per week with shifts available: 8:00am–5:00pm EST; 9:00am–6:00pm EST; 10:00am–7:00pm EST; or 11:00am–8:00pm EST under moderate supervision. Minimum Education & Experience High School Diploma or equivalent Experience in claim processing required Medical Billing Certification required Coding Certification required Ability to interpret Explanation of Benefits (EOB) HIPAA certified Customer Service Experience preferred Pharmacy Technician experience preferred Bi-lingual (English/Spanish) preferred Additional Information To be eligible for this position, you must reside in the same country where the job is located. IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating teamwork and inclusiveness. This role is a contract position managed by an external agency, with the opportunity to convert to a full-time IQVIA employee. Learn more at IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by law. #J-18808-Ljbffr IQVIA
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