Medical Biller, Claims Processing – Patient Support Representative

This is a fully remote position, open to applicants in Arizona, +1 more state.

📋 Description

• Receive medical claims from healthcare providers or patients and verify that all necessary supporting documentation is included.

• Interpret Explanation of Benefits (EOB) and CMS-1500 forms.

• Assess claims based on program-specific business rules to establish approval or denial.

• Manage daily tasks and prioritize workload efficiently.

• Offer assistance for customer inquiries through phone, email, fax, or other communication methods.

• Identify operational issues and propose solutions to management.

• Comply with HIPAA regulations.

• Achieve daily productivity and quota targets.

• Work 40 hours a week with moderate supervision.

• Provide payment assistance options such as co-pay cards or vouchers to patients.

⛳️ Requirements

• High School Diploma or equivalent is required.

• Completion of a Medical Billing Program, Medical Billing degree, or Certified Medical Billing license is required.

• Experience in claim processing is required.

• Ability to interpret EOBs is required.

• Insurance verification experience is required.

• Experience with payment postings is required.

• Call center/customer service experience (inbound/outbound calls) is required.

• Revenue cycle experience is preferred.

• Proficiency in Microsoft Office (Excel, Word, Outlook, Teams) is preferred.

• Experience with secondary and tertiary billing is preferred.

• Familiarity with complex insurance scenarios is preferred.

• Experience with multi-layered billing processes is preferred.

• Ability to adhere to HIPAA guidelines is essential.

• Ability to work 40 hours per week under moderate supervision is required.

• Ability to meet daily productivity and quota expectations is necessary.

🏝️ Benefits

• Career development opportunities.

• Potential to transition to a full-time IQVIA employee.

• Health and welfare benefits may be available.

• Additional benefits may be provided depending on the position.