Patient Support Medical/Biller Claims Processing Representative (Home-Based)
📍 Location: Atlanta, Georgia (Remote – Work from Home)
🕒 Job Type: Full-time | Contract (with potential to convert to full-time)
💼 Job ID: R1481792
🏠 Work Model: Home-based
🌎 Additional Locations: Charleston, SC | Columbia, OH | Miami, FL | Philadelphia, PA | Tampa, FL
About IQVIA
IQVIA is a global leader in clinical research services, commercial insights, and healthcare intelligence. We accelerate the development and commercialization of innovative medical treatments to improve patient outcomes and public health worldwide.
Our Commercial Sales & Medical Solutions (CSMS) division is the world’s largest, with 10,000+ professionals across 30+ countries, focused on patient support, sales, medical affairs, and clinical solutions.
Position Overview
Join IQVIA’s Patient Support Program team as a Medical Claims Processing Representative. You will help patients access payment assistance solutions (e.g., co-pay cards, vouchers) by reviewing and processing medical claims in accordance with program guidelines.
This is a remote, contract-based role managed by an external agency, with the opportunity for conversion to a full-time IQVIA position.
Key Responsibilities
Receive and review medical claims from healthcare providers (HCPs) or patients.
Ensure required supporting documentation is complete and accurate.
Interpret EOB (Explanation of Benefits) and CMS1500 forms.
Vet claims against program-specific business rules to determine eligibility for payment or rejection.
Provide exceptional customer service via phone, email, or fax as needed.
Recognize and escalate operational challenges or process improvements.
Work 40 hours/week under moderate supervision.
Shift Options:
9:00 AM – 6:00 PM EST
10:00 AM – 7:00 PM EST
11:00 AM – 8:00 PM EST
Minimum Qualifications
🎓 Education: High School Diploma or equivalent
💡 Certifications:
Medical Billing Certification (Required)
Coding Certification (Required)
HIPAA Certification (Required)
💼 Experience:
Prior claims processing experience (Required)
Customer Service experience (Preferred)
Pharmacy Technician experience (Preferred)
🌐 Other Requirements:
Ability to interpret Explanation of Benefits (EOB)
Strong organizational and documentation skills
Bi-lingual (English/Spanish) preferred
💰 Compensation
Pay Rate: $23.00/hour
Actual pay may vary based on experience, location, education, and schedule
May include eligibility for bonuses, incentives, and benefits
Why Join IQVIA?
✅ Opportunity to transition from contract to full-time employment
✅ Work-from-home flexibility
✅ Play a vital role in improving patient access to life-changing therapies
✅ Join a diverse, inclusive, and globally recognized organization
Equal Employment Opportunity
IQVIA is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.
🔗 Learn more: https://jobs.iqvia.com/eoe
Apply Now
Join us in helping patients access the therapies they need.
👉 Apply Now at: https://jobs.iqvia.com
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