Medical Biller/Claims Processing - Patient Support Representative (Remote; 10am-7pm EST)

divh2Medical Biller/Claims Processing - Patient Support Representative (Remote; 10am-7pm EST)/h2pHouston, United States of America | Full time | Home-based | R1500572/ppPatient Support Medical Claims Processing Representative/ppContract Remote Role Location (Open to Remote US)/ppAs 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 products 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./ppIQVIA has the worlds 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./ppWe are excited to announce that currently we are looking for a 100% remote (work from homeWFH) 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./ppJob Responsibilities:/pulliPrimary 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/liliExceptional organizational skills are required/liliMay provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center/liliRequires the ability to recognize operational challenges and suggest recommendations to management, as necessary/liliAbility to work 40 hours per week (shift available: 10:00am - 7:00pm ET) under moderate supervision/li/ulpMinimum Education Experience:/pulliHigh School Diploma or equivalent/liliExperience in claim processing required/liliMedical Billing Certification required/liliCoding Certification required/liliAbility to interpret Explanation of Benefits (EOB)/liliHIPAA certified/liliCustomer Service Experience preferred/liliPharmacy Technician experience preferred/liliBi-lingual (English/Spanish) preferred/li/ulpTo be eligible for this position, you must reside in the same country where the job is located./ppIQVIA 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./ppIQVIA 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./p/div