Description
As a Patient Support Medical Billing Representative, you'll be part of a team delivering assistance to patients through co-pay cards, vouchers, and claims support.
Your primary responsibility will be to receive medical claims from healthcare providers or patients, review supporting documentation, and vet each claim against program-specific business rules to determine whether it should be paid or rejected.
This is a 100% remote contract position with IQVIA, managed by an external agency, with the potential to convert to a full-time IQVIA employee.
Job Responsibilities
- Receive medical claims from healthcare providers or patients and ensure all required supporting documentation is provided.
- Interpret Explanation of Benefits (EOB) and CMS-1500 forms.
- Evaluate claims against program-specific business rules to determine approval or rejection.
- Maintain exceptional organisational skills to manage daily workload.
- Provide support to customer inquiries via phone, email, fax, or other communication channels.
- Identify operational challenges and recommend solutions to management as needed.
- Adhere to HIPAA guidelines.
- Prioritise tasks effectively throughout the day.
- Meet daily productivity and quota expectations.
- Work 40 hours per week under moderate supervision.
Minimum Education & Experience
- High School Diploma or equivalent required.
- Completion of Medical Billing Program or Medical Billing degree or Certified Medical Billing license required.
- Experience in claim processing required.
- Ability to interpret EOBs required.
- Insurance verification experience required.
- Experience with payment postings required.
- Call centre, customer service experience (inbound/outbound calls) required.
Benefits
- Career development opportunities
- Culture that values client focus, flawless execution, teamwork, integrity, and results
Pay Range
- $23.00 per hour