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

IQVIA•Atlanta, GA

2d•Remote

About The Position

At IQVIA, we are driven by a shared purpose: to improve patients’ lives through innovative healthcare solutions. As a global leader in commercial services, we bring life-changing therapies and support programs to the people who need them most. Our workplace is rooted in belonging, collaboration, and continuous improvement—where every team member is empowered to make an impact. As a Patient Support Medical Billing Representative, you’ll be part of a team that delivers meaningful assistance to patients through co-pay cards, vouchers, and claims support. We invest in your success with career development opportunities and a culture that values client focus, flawless execution, teamwork, integrity, and results. We are excited to announce an opening for a 100% remote (work from home) Patient Support Medical Billing Representative to join our team! In this role, you will provide payment assistance solutions such as co-pay cards or vouchers to patients. Your primary responsibility will be to receive medical claims from healthcare providers (HCPs) or patients, review supporting documentation, and vet each claim against program-specific business rules to determine whether it should be paid or rejected. This is a contract position with IQVIA, managed by an external agency, with the potential to convert to a full-time IQVIA employee.

Requirements

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

Nice To Haves

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

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.