IQVIA Medical Biller/Claims Processing Remote Job Opening

IQVIA, a global leader in clinical research services, commercial insights, and healthcare intelligence, has announced an opening for a 100% Remote Medical Biller / Claims Processing – Patient Support Representative.

This full-time contract role offers an entry pay rate of $23.00 per hour with the potential to convert into a permanent full-time IQVIA position. The position allows qualified healthcare administrative professionals residing in the United States to work completely from home.

Below is a detailed breakdown of the role responsibilities, educational and licensing qualifications, core competencies, and application guidelines.

Job Overview & Position Summary

In this role, representatives work as part of a specialized healthcare access team dedicated to executing financial assistance initiatives, including co-pay cards, patient vouchers, and co-pay assistance claims. The position serves as an essential link between healthcare providers (HCPs), patients, and commercial support programs to ensure treatments remain accessible and affordable.

Core Duties and Daily Responsibilities

As a Patient Support Medical Billing Representative, your day-to-day operations involve validating financial assistance claims against program-specific rules, interpreting complex billing forms, and maintaining steady output. Primary duties include:

• Claims Review & Adjudication: Receive incoming medical claims submitted by healthcare providers (HCPs) or patients. Verify that all supporting documentation is complete before processing.

• Form & Document Interpretation: Analyze standard medical billing documentation, specifically Explanation of Benefits (EOB) and CMS-1500 forms, to establish payment accuracy.

• Business Rule Validation: Evaluate each claim against specific program guidelines and business parameters to determine whether the claim should be approved for payment or rejected.

• Omnichannel Communications: Respond to inquiries from providers and patients across multiple communication channels, including phone, email, fax, and digital portals.

• Data Management & Productivity: Maintain high organizational standards to meet daily processing quotas and productivity metrics while managing daily task prioritization under moderate supervision.

• Quality & Compliance Control: Strict adherence to HIPAA guidelines, ensuring all patient health information (PHI) remains secure and confidential.

• Process Improvement: Identify operational bottlenecks or technical challenges during claims workflow and recommend actionable solutions to leadership.

Eligibility Criteria & Qualifications

To be considered for this role, candidates must satisfy mandatory educational credentials, specific licensing requirements, and operational skills.

Mandatory Requirements (Required)

• Education: High School Diploma or GED equivalent.

• Certification / Degree: Completion of a Medical Billing Program, an Associate Degree in Medical Billing, or a Certified Medical Billing license (such as CPB or equivalent credential).

• Claims Processing Experience: Practical background in processing and adjudicating medical claims.

• EOB Mastery: Proven capability in reading and interpreting Explanation of Benefits statements.

• Insurance Verification: Hands-on experience conducting patient insurance verification and eligibility checks.

• Payment Postings: Direct work experience in payment posting, ledger updates, and adjustment tracking.

• Call Center / Customer Service: Previous inbound and outbound contact center experience in a healthcare or customer-centric setting.

Preferred Experience

• Revenue Cycle Management (RCM): General exposure to complete billing cycle operations.

• Complex Insurance Workflows: Experience with secondary and tertiary billing, coordination of benefits (COB), and multi-layered billing processes.

• Software Proficiency: Technical comfort with Microsoft Office suite, specifically Excel, Word, Outlook, and Teams.

Work Environment, Company Culture, and Benefits

Remote Work Flexibility

This is a 100% home-based role. Employees are provided with collaborative digital tools to stay connected with team leads and managers while enjoying autonomy and work-life balance from home.

Diversity, Inclusion & Integrity

IQVIA operates across more than 100 countries, emphasizing a diverse corporate culture centered around collaboration, client focus, integrity, and clinical execution. IQVIA enforces a strict zero-tolerance policy regarding candidate fraud—all credentials, billing licenses, and employment histories submitted during the recruitment process must be complete and truthful.

Base Pay & Compensation Structure

The established base rate for this position is $23.00 per hour. Final compensation packages may include additional health and welfare benefits depending on the managing external agency’s policies and contract parameters.

How to Apply

Qualified applicants who meet the mandatory licensing and experience requirements can apply online directly through the official application link below:

Apply on Company Site — IQVIA Medical Biller/Claims Processing Representative

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