🏷️ Job Title: Virtual Medical Biller/Coder - Patient Support Claims Processing Representative
📍 Location: Chicago, Illinois (Remote – Open to Philadelphia, Pennsylvania | Phoenix, Arizona | Across US)
🕒 Employment Type: Full Time
🏠 Work Arrangement: Home-based (Remote, US)
🔢 Job ID: R1499579
🧭 Job Overview
Join IQVIA’s Patient Support team as a Medical Claims Processing Representative. In this remote role, you’ll provide billing and coding support, assist with payment assistance programs (co-pay cards or vouchers), and help patients access needed therapies by managing claims from healthcare providers (HCPs) or patients.
This is a contract role with the opportunity to convert into a full-time IQVIA employee.
⚙️ Key Responsibilities
📑 Claims Review & Processing:
Receive and review medical claims from HCPs or patients.
Verify completeness of supporting documentation.
Interpret EOBs (Explanation of Benefits) and CMS-1500 forms.
Vet claims against program-specific business rules to determine approval or rejection.
💬 Customer Interaction:
Support customer requests via phone, email, or fax.
Address queries professionally and within timelines.
📊 Operational Excellence:
Recognize workflow challenges and suggest process improvements.
Ensure adherence to compliance standards (HIPAA, data privacy, etc.).
⏰ Work Hours:
Must be available for a 40-hour work week.
Shifts available:
8:00 AM – 5:00 PM ET
9:00 AM – 6:00 PM ET
10:00 AM – 7:00 PM ET
11:00 AM – 8:00 PM ET
🎓 Minimum Qualifications
🎓 Education: High School Diploma or equivalent
🧾 Certifications Required:
Medical Billing Certification
Medical Coding Certification
HIPAA Certification
💼 Experience:
Claims processing experience required
Customer service experience preferred
Pharmacy Technician experience preferred
Bilingual (English/Spanish) preferred
🧠 Skills:
Ability to interpret EOBs
Strong organizational and analytical skills
Excellent communication (verbal & written)
💰 Compensation
Hourly Pay: $23.00/hour
Additional incentives, bonuses, and benefits may be offered depending on role and location.
🌍 About IQVIA
IQVIA is a global leader in healthcare data, analytics, and technology, enabling better decision-making and accelerating the development of life-changing therapies.
We foster an inclusive, diverse environment where all employees thrive.
🔗 Learn more: https://jobs.iqvia.com
⚖️ Equal Employment Opportunity
IQVIA is an Equal Opportunity Employer. All qualified applicants receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any protected status.
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