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

0-2 years
$23.00/hour
10 Oct. 3, 2025
Job Description
Job Type: Full Time Remote Education: B.Sc/M.Sc/M.Pharma/B.Pharma/Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

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

๐Ÿ“ Location: Atlanta, Georgia (Remote – Work from Home)
๐Ÿ•’ Job Type: Full-time | Contract (with potential to convert to full-time)
๐Ÿ’ผ Job ID: R1481792
๐Ÿ  Work Model: Home-based
๐ŸŒŽ 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

๐ŸŽ“ Education: High School Diploma or equivalent

๐Ÿ’ก Certifications:

  • Medical Billing Certification (Required)

  • Coding Certification (Required)

  • HIPAA Certification (Required)

๐Ÿ’ผ Experience:

  • Prior claims processing experience (Required)

  • Customer Service experience (Preferred)

  • Pharmacy Technician experience (Preferred)

๐ŸŒ Other Requirements:

  • Ability to interpret Explanation of Benefits (EOB)

  • Strong organizational and documentation skills

  • Bi-lingual (English/Spanish) preferred


๐Ÿ’ฐ 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?

โœ… Opportunity to transition from contract to full-time employment
โœ… Work-from-home flexibility
โœ… Play a vital role in improving patient access to life-changing therapies
โœ… 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.

๐Ÿ”— Learn more: https://jobs.iqvia.com/eoe


Apply Now

Join us in helping patients access the therapies they need.
๐Ÿ‘‰ Apply Now at: https://jobs.iqvia.com