[Hiring] Patient Support Medical Billing Representative @IQVIA

Role Description

As a Patient Support Medical Billing Representative, you’ll be part of a team that delivers meaningful assistance to patients through co-pay cards, vouchers, and claims support. Your primary responsibility will be to receive medical claims from healthcare providers (HCPs) or patients, review supporting documentation, and vet each claim against program-specific business rules to determine whether it should be paid or rejected.

• 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.

Qualifications

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

Requirements

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

Benefits

• This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.