Virtual Medical Biller/Coder - Patient Support Claims Processing Rep (Home-Based) Job at IQVIA, Chicago, IL

SDVabW9GQWhXMlRlSmszRFpzRFJBV1pvZkE9PQ==
  • IQVIA
  • Chicago, IL

Job Description

Patient Support Medical Claims Processing Representative

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 ET or, 9:00 am - 6:00 pm ET or, 10:00 am - 7:00 pm ET or, 11:00 am ET - 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-Remote

#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 work, Worldwide, Shift work,

Similar Jobs

Professional Packaging Systems

Sales Executive Job at Professional Packaging Systems

 ...difference with over 1,000 team players, please read on. National Sales ManagerJob SummaryTo sell packaging materials, packaging...  ...every industry, including e-commerce, retail and wholesale food, snack, beverage, specialty manufacturing, fresh produce, hobby... 

LSC Lifesciences Consultants

Business Analyst - Life Sciences Strategy (NYC) Job at LSC Lifesciences Consultants

 ...industries of our time? LSC Lifesciences Consultants is hiring Business Analysts with exceptional intellect, relentless curiosity, and the...  ...fields Global mindset and international academic, internship, or work experience Clear communication and strong analytical... 

Elite Home Care Day Centers & Transportation Greenville

Non- Medical Transportation Driver Job at Elite Home Care Day Centers & Transportation Greenville

Elite Day Centers is seeking Non-Medical Transportation Drivers to safely transport our members to and from our centers and medical appointments. Driver must to be able to do wheelchair transports in a transit van with lift Key Responsibilities: * Safely... 

Sephora

Assistant Store Manager, Woodfield Job at Sephora

 ...Salaried (Exempt) Job Type: Full Time Position Type: Regular Job Function: Stores - Leadership Company Overview: At Sephora we inspire our customers, empower our teams, and help them become the best versions of themselves. We create an environment where... 

Total Energies

Data and Process Optimization Analyst Internship - Spring /Fall 2026 (Houston, TX) Job at Total Energies

 ...Join TotalEnergies' Flexible Power Integration Business Unit as a Data and Process Optimization Analyst - Trainee and become a key contributor to our mission...  ...generation and distribution! This 12-month internship offers a unique opportunity to gain hands-on experience...