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Patient Support Medical Claims Processing Representative

IQVIA

IQVIA is hiring a 100% remote Patient Support Medical Claims Processing Representative to support patient assistance programs. In this role, you will review medical claims submitted by HCPs or patients, verify supporting documentation, interpret EOB/CMS1500 forms, and determine whether claims should be paid or rejected based on program-specific business rules.

This position supports co-pay cards, vouchers, and other payment assistance solutions. The role works under moderate supervision and requires availability for a 10:00am to 7:00pm ET shift, 40 hours per week.

Requirements & Qualifications

Minimum qualifications

  • High school diploma or equivalent
  • Experience in claim processing
  • Medical Billing Certification
  • Coding Certification
  • Ability to interpret Explanation of Benefits (EOB)
  • HIPPA certified

Preferred qualifications

  • Customer service experience
  • Pharmacy technician experience
  • Bilingual English/Spanish

Other details

  • Must reside in the same country where the job is located
  • Contract role with the opportunity to convert to a full-time IQVIA employee

Location

Houston, Texas, US

Employment Type

Contractor

Experience Level

Entry Level

Remote work allowed

Yes

Posted

2 months ago

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