Medical Biller/Claims Processing - Patient Support Representative
New
I
IQVIAHealthcare billing
Open to Remote USContract
Salary23 USD per hour
Apply NowOpens the employer's application page
Job Details
- Required Skills
- Microsoft ExcelCustomer serviceHIPAA
Requirements
- High school diploma or equivalent.
- Completion of a medical billing program, a medical billing degree, or a certified medical billing license.
- Experience in claim processing.
- Ability to interpret EOBs.
- Insurance verification experience.
- Experience with payment postings.
- Call center or customer service experience, including inbound and outbound calls.
- Revenue cycle experience preferred.
- Proficiency in Microsoft Office, including Excel, Word, Outlook, and 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 or patients and ensure 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.
- Respond to customer inquiries by phone, email, fax, or other communication channels.
- Identify operational challenges and recommend solutions to management.
- Adhere to HIPAA guidelines and prioritize daily tasks.
- Meet daily productivity and quota expectations while working 40 hours per week under moderate supervision.
View Full Description & ApplyYou'll be redirected to the employer's site
