Customer Service Specialist
Sutherland
Medical Biller, Claims Processing – Patient Support Representative
IQVIA
contract
Posted on:
Location Type: Remote
Location: Remote • Arizona, Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $23 per hour
Job Level
Mid-LevelSenior
About the role
- Receiving medical claims from HCPs or patients
- Ensuring adequate supporting documentation
- Interpreting the EOB/CMS1500
- Vetting claims against program specific business rules
- Determining if the claim should be paid or rejected
- Providing support for customer requests via telephone, email, fax
- Recognizing operational challenges and suggesting recommendations to management
Requirements
- 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
Benefits
- Health insurance
- Retirement plans
- Flexible work arrangements
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claim processingmedical billingcodinginterpretation of Explanation of Benefits (EOB)CMS1500veting claimsbusiness rules application
Soft skills
customer servicecommunicationproblem-solvingrecommendation skills
Certifications
High School DiplomaMedical Billing CertificationCoding CertificationHIPAA certification
