๐ท๏ธ Job Title: Medical Biller/Claims Processing - Patient Support Representative
๐ Location: Houston, Texas (Remote – Open to Flagstaff, AZ | Kansas City, KS | Las Vegas, NV | Miami, FL | Newark, NJ | Across US)
๐ Employment Type: Full Time (Contract Role)
๐ Work Arrangement: Home-based (Remote, US)
๐ข Job ID: R1500572
๐งญ Job Overview
IQVIA is seeking a Patient Support Medical Claims Processing Representative for a 100% remote (work-from-home) contract position.
In this role, you will support payment assistance programs (e.g., co-pay cards, vouchers) and help patients access therapies by managing medical claims submitted by Healthcare Providers (HCPs) or patients.
This position is contract-based and managed by an external agency, with potential conversion to a full-time IQVIA role.
โ๏ธ Key Responsibilities
๐ Claims Review & Adjudication:
Receive and process medical claims from HCPs or patients.
Verify completeness of documentation and interpret EOBs (Explanation of Benefits) and CMS-1500 forms.
Evaluate claims against program-specific business rules to determine approval or rejection.
๐ฌ Customer Support:
Handle inquiries via telephone, email, fax, or other communication channels.
Ensure prompt and accurate responses to customer requests.
๐ Operational Support:
Identify process challenges and propose recommendations to management.
Maintain accurate records and uphold quality standards.
โฐ Work Schedule:
Must be available 40 hours/week.
Shifts offered:
8:00 AM – 5:00 PM EST
9:00 AM – 6:00 PM EST
10:00 AM – 7:00 PM ET
11:00 AM – 8:00 PM EST
๐ Minimum Education & Experience
๐ Education: High School Diploma or equivalent
๐งพ Certifications (Required):
Medical Billing Certification
Medical Coding Certification
HIPAA Certification
๐ผ Experience:
Prior experience in claims processing (required)
Customer service experience (preferred)
Pharmacy Technician experience (preferred)
Bilingual (English/Spanish) preferred
๐ง Skills:
Ability to interpret EOBs
Strong attention to detail & organizational skills
Excellent verbal and written communication
๐ฐ Compensation
๐ต Base Pay: $23.00 per hour
Additional incentives, bonuses, and benefits may apply depending on experience, schedule, and location.
๐ About IQVIA
IQVIA is a global leader in healthcare data, technology, and analytics, helping biopharma and medical device companies deliver therapies worldwide.
Through patient support, commercial solutions, and clinical services, IQVIA accelerates access to innovative healthcare solutions.
๐ Learn more: https://jobs.iqvia.com
โ๏ธ Equal Employment Opportunity
IQVIA is an Equal Opportunity Employer. All qualified applicants receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected status.
๐ EOE Policy: https://jobs.iqvia.com/eoe
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