IQVIA
Miami, FL, USA
Medical Biller/Claims Processing - Patient Support Representative (Work from Home)
Join IQVIA as a Patient Support Medical Claims Processing Representative —a 100% remote contract role with the opportunity to convert to a full‑time position.
Job Responsibilities
Receive medical claims from healthcare providers or patients, ensuring adequate supporting documentation is provided.
Interpret the EOB/CMS1500 and vet the claim against program‑specific business rules to determine whether the claim should be paid or rejected.
Provide support as needed for customer requests via telephone, email, fax, or other means of contact to the Support Center.
Recognize operational challenges and suggest recommendations to management under moderate supervision.
Work 40 hours per week in one of the available shifts: 8:00 am‑5:00 pm EST, 9:00 am‑6:00 pm EST, 10:00 am‑7:00 pm EST or 11:00 am‑8:00 pm EST.
Minimum Education & Experience
High School Diploma or equivalent.
Experience in claim...