Medical Biller/Claims Processing - Patient Support Representative (Home-Based)
IQVIA · Atlanta, GA +2 more
CommercialFull-timeCompany career page
The apply link worked recently (not employer-confirmed).
Role summary
IQVIA seeks a remote medical billing representative to process patient assistance claims and determine eligibility based on program guidelines. The role involves reviewing documentation, interpreting insurance forms, and managing customer inquiries while maintaining HIPAA compliance. Requires medical billing certification, claims processing experience, and customer service background.
What they're looking for
- High school diploma or equivalent
- Medical billing program completion, degree, or certified medical billing license
- Claims processing experience
- Ability to interpret Explanation of Benefits documents
- Insurance verification experience
- Payment posting experience
- Call center or customer service experience with inbound and outbound calls
What you'll be doing
- Receive medical claims from healthcare providers or patients with supporting documentation
- Interpret EOB and CMS-1500 forms to evaluate claim validity
- Assess claims against program-specific business rules for approval or denial
- Respond to customer inquiries via phone, email, fax, and other channels
- Maintain productivity metrics and meet daily quota expectations
Compensation$23.00 per hour
Privacy & handoff
This role links to IQVIA's own application system. RoleLantern records your interest and checks the link, but the application happens on the employer's site and status updates may not come back to us. Clicking apply does not mark you as applied automatically.