Medical Biller/Claims Processing - Patient Support Representative (Home-Based) Job at IQVIA, New Providence, NJ

  • IQVIA
  • New Providence, NJ

Job Description

IQVIA seeks a Patient Support Medical Billing Representative for a remote position processing medical claims and payment assistance. The role involves reviewing claims documentation, interpreting insurance forms, and determining eligibility against program guidelines while providing customer support.

Responsibilities

  • Receive and process medical claims from healthcare providers and patients
  • Review supporting documentation and evaluate claims against program business rules
  • Interpret EOB and CMS-1500 forms to determine claim approval or rejection
  • Respond to customer inquiries via phone, email, fax, and other channels
  • Identify operational challenges and recommend solutions to management

Requirements

  • High school diploma or equivalent
  • Medical billing certification, degree, or license
  • Experience processing medical claims
  • Ability to interpret Explanation of Benefits and insurance forms
  • Insurance verification and payment posting experience
  • Call center or customer service experience with inbound/outbound calls
  • Proficiency in Microsoft Office applications

Compensation: $23.00 per hour

Job Tags

Hourly pay, Work at office, Remote work

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