Patient Support Medical/Biller Claims Processing Representative Job at IQVIA, Trenton, NJ

aXFYckVxWEE1Q2tmWCtsekVrcitVZFp4RFE9PQ==
  • IQVIA
  • Trenton, NJ

Job Description

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 EST, 9:00 am – 6:00 pm EST or, 10:00 am - 7:00 pm EST or, 11:00 am – 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.

By applying, you consent to your information being transmitted by Jooble to the Employer, as data controller, through the Employer’s data processor SonicJobs.
See Sonicjobs Privacy Policy at and Terms & Conditions at and SonicJobs Privacy Policy at and Terms of Use at

Job Tags

Hourly pay, Full time, Contract work, Remote job, Shift work,

Similar Jobs

SP Associates

Industrial Engineer - 1362 Job at SP Associates

 ...assure compliance with Sigvaris policies, industry standards, ISO 13485 standards, and...  ...communication methods. # Director of Engineering and/or appropriate management staff are...  ...in a manufacturing environment beyond internship, preferably in the textile industry.... 

Hiring Winners

Finance Manager (Waco Area) Job at Hiring Winners

 ...Finance and Insurance (F&I) Manager Only Top Talent Need Apply!! This is an incredible opportunity for an experienced professional who is excited by Automotive F&I and passionate about customer service. We are currently seeking a Top Producing F&I Manager with a... 

TradeWinds Island Resort

Painter Job at TradeWinds Island Resort

 ...hospitality management company widely recognized as an innovator in the industry. Highgate is the dominant player in U.S. gateway markets...  ...Beach, a Top-Ranked US Beach! The Maintenance Engineer Painter is responsible for ensuring that the property is maintained in... 

EVERSANA

Pharmacy Technician Job at EVERSANA

 ...about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA. Job Description The Pharmacy Technician is responsible for the preparation and shipment of medications and supplies for individual patients and wholesale facilities.... 

Ofinno

Senior Patent Attorney or Agent, Video Compression Job at Ofinno

 ...breakthroughs that shape the future of technology. Position Overview: Ofinno relies on our technical experts to help interpret the cited art and identify distinctions. Our legal team is able to focus on crafting persuasive arguments, which helps Ofinno to obtain quality...