Virtual Medical Biller/Coder - Patient Support Claims Processing Rep (Home-Based)

Position Overview

Join IQVIA as a Patient Support Medical Claims Processing Representative in a 100% remote role. In this position, you will be part of a global organization that supports biopharma, medical device, and diagnostic companies in delivering therapies to patients in need. You will provide payment assistance solutions (such as co-pay cards and vouchers) by receiving and vetting medical claims according to program-specific business rules. This position is initially a contract role managed by an external agency with the potential for conversion to an IQVIA full-time employee.

Key Responsibilities

• Receive medical claims from healthcare providers or patients and verify supporting documentation.
• Interpret EOB/CMS1500 forms and vet claims against program-specific business rules to determine payment eligibility.
• Provide support through telephone, email, fax, or other communication channels as needed.
• Identify operational challenges and suggest recommendations to management.
• Work a 40-hour week with varying shifts available (8:00 am - 5:00 pm ET, 9:00 am - 6:00 pm ET, 10:00 am - 7:00 pm ET, or 11:00 am - 8:00 pm EST) under moderate supervision.

Required Qualifications

• High School Diploma or equivalent.
• Experience in claim processing.
• Medical Billing Certification.
• Coding Certification.
• Ability to interpret Explanation of Benefits (EOB).
• HIPAA certification.

Preferred Qualifications

• Customer Service Experience.
• Pharmacy Technician experience.
• Bi-lingual skills (English/Spanish).

Benefits & Perks

• Compensation: $23.00 per hour base pay, with potential for incentives, bonuses, and additional forms of compensation based on qualifications and experience.
• 100% Remote work (Work From Home in the US).
• Opportunity to convert to a full-time role at IQVIA.
• Access to a diverse and inclusive work environment with global exposure.