Medical Biller/Claims Processing - Patient Support Representative (Home-Based)

IQVIA · Atlanta, GA +2 more

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Corporate & BusinessFull-timeCompany career page

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Role summary

IQVIA seeks a remote medical billing representative to process patient insurance claims and administer payment assistance programs. The role involves reviewing claims documentation, interpreting insurance forms, and determining eligibility against program guidelines while maintaining HIPAA compliance.

What they're looking for

High school diploma or equivalent
Completion of medical billing program, degree, or certification
Claims processing experience
Ability to interpret Explanation of Benefits forms
Insurance verification experience
Payment posting experience
Inbound and outbound call center or customer service experience

What you'll be doing

Receive and validate medical claims with required supporting documentation from providers or patients
Interpret insurance forms and evaluate claims against program-specific business rules for approval or rejection
Respond to customer inquiries via phone, email, fax, and other communication channels
Identify operational challenges and suggest process improvements to management
Meet daily productivity quotas and maintain HIPAA compliance

Compensation$23.00 per hour

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