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

IQVIA · New Providence, NJ

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Medical AffairsFull-timeCompany career page

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Role summary

IQVIA seeks a Patient Support Medical Billing Representative for a remote position processing medical claims and payment assistance. The role involves reviewing claims documentation, interpreting insurance forms, and determining eligibility against program guidelines while providing customer support.

What they're looking for

High school diploma or equivalent
Medical billing certification, degree, or license
Experience processing medical claims
Ability to interpret Explanation of Benefits and insurance forms
Insurance verification and payment posting experience
Call center or customer service experience with inbound/outbound calls
Proficiency in Microsoft Office applications

What you'll be doing

Receive and process medical claims from healthcare providers and patients
Review supporting documentation and evaluate claims against program business rules
Interpret EOB and CMS-1500 forms to determine claim approval or rejection
Respond to customer inquiries via phone, email, fax, and other channels
Identify operational challenges and recommend solutions to management

Compensation$23.00 per hour

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