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

ZC9vbFgxL0hoWWE0NnlQSkVRUEE0T0dlZVE9PQ==
  • IQVIA
  • Cleveland, OH

Job Description

Patient Support Medical Claims Processing Representative

Contract Remote Role - Location (Open to Remote US)

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies.

IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contact Patient Support Medical Claims Processing Representative to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Patient Support Call Center Representative is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

Job Responsibilities:
  • Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected
  • Exceptional organizational skills are required
  • May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center
  • Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary
  • Ability to work 40 hours per week (shifts available: 8:00 am - 5:00 pm EST, 9:00 am - 6:00 pm EST or, 10:00 am - 7:00 pm EST or, 11:00 am - 8:00pm EST) under moderate supervision

Minimum Education & Experience:
  • High School Diploma or equivalent
  • Experience in claim processing required
  • Medical Billing Certification required
  • Coding Certification required
  • Ability to interpret Explanation of Benefits (EOB)
  • HIPPA certified
  • Customer Service Experience preferred
  • Pharmacy Technician experience preferred
  • Bi-lingual (English/Spanish) preferred

The pay range for this role is $23.00 per hour. To be eligible for this position, you must reside in the same country where the job is located.

IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

#LI-CES

#LI-DNP

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law.

The potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

Job Tags

Hourly pay, Full time, Contract work, Part time, Remote job, Worldwide, Shift work,

Similar Jobs

Mavens Guild

Senior Web Application UI/UX Developer Job at Mavens Guild

 ...What we would like to see: A deep, thorough understanding of web application development and UI design. Primary...  ...development and collaborating closelywith a team of highly skilled developers, technical leads and product owners in a fast paced Agile environment... 

ARK Distributing

Entry Level Sales & Marketing Job at ARK Distributing

 ...apply below! Why Choose ARK Distributing?1. Motivated and competitive people excel in this role.2. Tired of working for minimum wage and relying on tips to pay the rent? This position includes uncapped commission and exciting contests.3. You will be a part of... 

Get It - Executive

Vice President of Human Resources Job at Get It - Executive

 ...global talent strategies. Develop programs to enhance candidate pipelines and ensure timely hiring. Learning & Development: Oversee...  ...and a remote workforce. Conduct employee satisfaction surveys and use insights to enhance workplace experiences. Compensation... 

Lensa

Senior Video Producer Job at Lensa

 ...software providers worldwide by offering an intuitive, easy-to-use product suite that helps businesses automate and streamline HR and...  ...Paylocity and launch your career! Position Overview The Senior Video Producer is a pivotal role between creative direction and... 

CVS Health

Delivery Driver - Part Time Job at CVS Health

 ...more compassionate. And we do it all with heart, each and every day.The road to a Fortune 4 career starts hereAs a Delivery Driver for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route and schedule in a...