Medical Biller/Claims Processing - Patient Support Representative (Remote; 10am-7pm EST)
Job
IQVIA
Remote
$47,840 Salary, Full-Time
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Job Description
- 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.
- 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.
Learn more at https:
//jobs.iqvia.com 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.https:
//jobs.iqvia.com/eoe 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. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create connections that accelerate the development and commercialization of innovative medical treatments. Everything we do is part of a journey to improve patient outcomes and population health worldwide. To get there, we seek out diverse talent with curious minds and a relentless commitment to innovation and impact. No matter your role, everyone at IQVIA contributes to our shared goal of helping customers improve the lives of patients everywhere. Thank you for your interest in growing your career with us. EEO Minorities/Females/Protected Veterans/DisabledSimilar jobs in Houston, TX
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