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

$23 per hour

IQVIA

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.

Responsibilities

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

Requirements

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

Compensation: $23.00 per hour

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Vacancy posted 4 days ago

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