Medical Biller/Claims Processing - Patient Support Representative (Home-Based) Job at IQVIA, Nashville, TN

  • IQVIA
  • Nashville, TN

Job Description

IQVIA seeks a remote medical biller to process patient assistance claims, reviewing supporting documentation and determining payment eligibility against program rules. This contract position offers potential conversion to full-time employment and involves managing co-pay cards, vouchers, and claims support.

Responsibilities

  • Receive and review medical claims from healthcare providers with required supporting documentation
  • Evaluate claims against program-specific rules to approve or deny payments
  • Interpret EOB and CMS-1500 forms for processing accuracy
  • Respond to customer inquiries via phone, email, fax, and other channels
  • Maintain HIPAA compliance and meet daily productivity quotas

Requirements

  • High school diploma or equivalent
  • Medical billing program completion, degree, or certified medical billing license
  • Claims processing experience
  • Ability to interpret Explanation of Benefits (EOB) documents
  • Insurance verification experience
  • Call center or customer service experience
  • Payment posting experience

Compensation: $23.00 per hour

Job Tags

Hourly pay, Full time, Contract work, Remote work

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