Patient Support Medical/Biller Claims Processing Representative (Home-Based)
IQVIA
- Tampa, FL
- $23.00 per hour
- Permanent
- Full-time
- 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 (two shifts: 8:30 am EST – 5:30 pm EST or 11:00 am EST – 8:00pm EST) under moderate supervision
- High School Diploma or equivalent
- Experience in claim processing required
- Medical Billing and Coding Certification required
- Ability to interpret Explanation of Benefits (EOB)
- HIPPA certified
- Customer Service Experience preferred
- Pharmacy Technician experience preferred