Medical Biller/Claims Processing - Patient Support Representative (Home-Based) Job at IQVIA, Las Vegas, NV

  • IQVIA
  • Las Vegas, NV

Job Description

IQVIA seeks a remote medical billing representative to process insurance claims and support patients with payment assistance solutions. The role involves reviewing claims documentation, interpreting insurance forms, and determining eligibility against program guidelines while maintaining HIPAA compliance.

Responsibilities

  • Receive and validate medical claims from healthcare providers and patients with supporting documentation
  • Interpret insurance forms and evaluate claims against program-specific business rules
  • Respond to customer inquiries via phone, email, fax, and other channels
  • Manage daily workload with strong organizational skills and task prioritization
  • Identify operational challenges and recommend process improvements to management

Requirements

  • High school diploma or equivalent
  • Medical billing certification, degree, or license
  • Demonstrated claims processing experience
  • Ability to interpret Explanation of Benefits and insurance forms
  • Insurance verification and payment posting experience
  • Inbound and outbound call center or customer service experience

Compensation: $23.00 per hour

Job Tags

Hourly pay, Remote work

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