Medical Biller

Medical Biller/Claims Processing - Patient Support Representative - Remote Miami, United States of America | Full time | Home-based | R1500572 Patient Support Medical Claims Processing Representative Contract Remote Role – Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product’s value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world’s largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs. We are excited to announce that currently we are looking for a 100% remote (work from home—WFH) contact Patient Support Medical Claims Processing Representative to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Patient Support Call Center Representative is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee. Job Responsibilities: Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected Exceptional organizational skills are required May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary Ability to work 40 hours per week (shift available: 10:00am - 7:00pm ET) under moderate supervision High School Diploma or equivalent Experience in claim processing required Medical Billing Certification required Coding Certification required Ability to interpret Explanation of Benefits (EOB) HIPPA certified Customer Service Experience preferred 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 and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. 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, status as a protected veteran, or any other status protected by applicable law. IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism. The potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits. Patient Support Medical Claims Processing Representative Contract Remote Role – Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product’s value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world’s largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs. We are excited to announce that currently we are looking for a 100% remote (work from home—WFH) contact Patient Support Medical Claims Processing Representative to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Patient Support Call Center Representative is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee. Job Responsibilities: Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected Exceptional organizational skills are required May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary Ability to work 40 hours per week (shift available: 10:00am - 7:00pm ET) 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) HIPPA certified Customer Service Experience preferred Pharmacy Technician experience preferred Bi-lingual (English/Spanish) preferred 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 and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. 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, status as a protected veteran, or any other status protected by applicable law. IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism. The potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits. Where you'll work Home-based You’ll work remotely, with the flexibility to do your best work from home. Supported by collaborative tools and a global team, you’ll stay connected while enjoying the autonomy and balance that comes with a fully remote role. "I like that we're different. I like that we're a unique organization unlike any other. I like to think of us as the intelligence company for life sciences and healthcare. I do believe there's nothing else like this organization in the world. So if you like something that's different and interesting, you're going to like IQVIA. If you like an organization that has a variety of opportunities, from IT to big data to AI to finance to HR, there are so many opportunities to have an impact." "The culture in IQVIA is to be constantly looking at how we can do things better to help our customers, to bring life-changing medicines to patients and also to be a part in designing and developing and implementing these solutions. And so I think it's a great place to join because there is that organizational focus and commitment in driving forward the innovation and just the ability, I think, to work with cross-functional teams who are all excited to be working in these areas. It's a fantastic opportunity." "First of all, we are humans, we have some moments in our lives that are so very important and we need to respect. And something I also always love about IQVIA was that my leaders and people with which I have been working, they always respected a lot as well our personal lives. I never miss a parents' meeting of my kids, and this is something that we shouldn't be giving for granted." Senior Director Global Site Activation "I like that we're different. I like that we're a unique organization unlike any other. I like to think of us as the intelligence company for life sciences and healthcare. I do believe there's nothing else like this organization in the world. So if you like something that's different and interesting, you're going to like IQVIA. If you like an organization that has a variety of opportunities, from IT to big data to AI to finance to HR, there are so many opportunities to have an impact." Culture Culture at IQVIA is built on a shared belief: that when people are empowered with better data, smarter technology and deeper expertise, they can change what’s possible for patients. Across every team and every corner of the globe, you’ll find colleagues who genuinely care — about the mission and about each other. That’s what makes this a place where people tend to stay, grow and do the best work of their careers. Medical Biller/Claims Processing - Patient Support Representative - Remote Miami, United States of America | Home-based #J-18808-Ljbffr