Medical Biller/Claims Processing - Patient Support Representative (Home-Based)

Job Responsibilities: Receive medical claims from healthcare providers (HCPs) or patients and ensure all required supporting documentation is provided. Interpret Explanation of Benefits (EOB) and CMS-1500 forms. Evaluate claims against program-specific business rules to determine approval or rejection. Maintain exceptional organizational skills to manage daily workload. Provide support to customer inquiries via phone, email, fax, or other communication channels. Identify operational challenges and recommend solutions to management as needed. Adhere to HIPAA guidelines. Prioritize tasks effectively throughout the day. Meet daily productivity and quota expectations. Work 40 hours per week under moderate supervision. Minimum Education & Experience High School Diploma or equivalent Required Completion of Medical Billing Program or Medical Billing degree or Certified Medical Billing license Required Experience in claim processing Required Ability to interpret EOBs Required Insurance verification experience Required Experience with payment postings Required Call center, customer service experience (inbound/outbound calls) Required Revenue cycle experience Preferred Proficiency in Microsoft Office (Excel, Word, Outlook, Teams) Preferred Experience with secondary and tertiary billing Preferred Familiarity with complex insurance scenarios Preferred Experience with multi-layered billing processes Preferred The pay range for this role is $23.00 per hour. 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.