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Medical Claims Processing Representative

IQVIA

Patient Support Medical Claims Processing Representative

Contract remote role open to remote U.S. candidates.

IQVIA provides commercial solutions for biopharma, medical device, and diagnostic companies, with a strong focus on patient support programs. In this role, you will help provide payment assistance solutions such as co-pay cards or vouchers and support patients by reviewing medical claims submitted by HCPs or patients.

You will receive claims, verify supporting documentation, interpret EOB/CMS1500 forms, and apply program-specific business rules to determine whether a claim should be paid or rejected. The role also includes providing support to customers through phone, email, fax, or other contact methods as needed.

This position is a contract role with the potential to convert to a full-time IQVIA employee.

Requirements & Qualifications
  • High school diploma or equivalent
  • Experience in claim processing required
  • Medical billing certification required
  • Coding certification required
  • Ability to interpret Explanation of Benefits (EOB)
  • HIPAA certified
  • Customer service experience preferred
  • Pharmacy technician experience preferred
  • Bilingual English/Spanish preferred
  • Ability to work 40 hours per week, 10:00 a.m. to 7:00 p.m. ET
  • Ability to work under moderate supervision

Location

Las Vegas, Nevada, US

Employment Type

Contractor

Experience Level

Entry Level

Remote work allowed

Yes

Posted

2 months ago

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