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

At IQVIA, we are driven by a shared purpose: to improve patients’ lives through innovative healthcare solutions. As a global leader in commercial services, we bring life-changing therapies and support programs to the people who need them most. Our workplace is rooted in belonging, collaboration, and continuous improvement—where every team member is empowered to make an impact.

About the role

We are excited to announce an opening for a 100% remote (work from home) Patient Support Medical Billing Representative to join our team! In this role, you will provide payment assistance solutions such as co-pay cards or vouchers to patients. This is a contract position with IQVIA, managed by an external agency, with the potential to convert to a full-time IQVIA employee.

Responsibilities

• Receive medical claims from healthcare providers (HCPs) or patients and ensure all required supporting documentation is provided.
• Interpret Explanation of Benefits (EOB) and CMS-1500 forms.
• Evaluate claims against program-specific business rules to determine approval or rejection.
• Maintain exceptional organizational skills to manage daily workload.
• Provide support to customer inquiries via phone, email, fax, or other communication channels.
• Identify operational challenges and recommend solutions to management as needed.
• Adhere to HIPAA guidelines.
• Prioritize tasks effectively throughout the day.
• Meet daily productivity and quota expectations.
• Work 40 hours per week under moderate supervision.

Requirements

• High School Diploma or equivalent.
• Completion of Medical Billing Program or Medical Billing degree or Certified Medical Billing license.
• Experience in claim processing.
• Ability to interpret EOBs.
• Insurance verification experience.
• Experience with payment postings.
• Call center, customer service experience (inbound/outbound calls).

Qualifications

• Revenue cycle experience (Preferred).
• Proficiency in Microsoft Office (Excel, Word, Outlook, Teams) (Preferred).
• Experience with secondary and tertiary billing (Preferred).
• Familiarity with complex insurance scenarios (Preferred).
• Experience with multi-layered billing processes (Preferred).

Pay

The pay range for this role is $23.00 per hour.