Medical Biller/Claims Processing – Patient Support Representative

IQVIA

. Receive medical claims from healthcare providers or patients and ensure all required supporting documentation is provided .

Posted 9/18/2026full-timeRemote • Arizona • United StatesMid-LevelSenior💰 $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical claims processing, including the interpretation of EOBs and adherence to HIPAA guidelines. Proficient in managing customer inquiries and providing payment assistance solutions while meeting productivity expectations.

Highest-signal resume keywords

Medical Billing Program CompletionClaim Processing ExperienceEOB InterpretationInsurance Verification ExperienceCustomer Service Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Claims ProcessingEOB InterpretationInsurance VerificationPayment PostingRevenue Cycle ManagementMulti-Layered Billing ProcessesComplex Insurance Scenarios

Soft Skills

Task PrioritizationProblem SolvingEffective Communication

Tools & Technologies

Microsoft OfficeExcelWordOutlookTeams

Certifications & Qualifications

Certified Medical Billing License

Industry Keywords

HIPAA GuidelinesHealthcare ClaimsCustomer InquiriesPayment Assistance Solutions

About the role

Key responsibilities & impact

Receive medical claims from healthcare providers or patients and ensure all 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
Manage daily workload and prioritize tasks effectively
Provide support to customer inquiries via phone, email, fax, or other communication channels
Identify operational challenges and recommend solutions to management
Adhere to HIPAA guidelines
Meet daily productivity and quota expectations
Work 40 hours per week under moderate supervision
Provide payment assistance solutions such as co-pay cards or vouchers to patients

Requirements

What you’ll need

High School Diploma or equivalent Required
Completion of Medical Billing Program or Medical Billing degree or Certified Medical Billing license Required
Experience in claim processing Required
Ability to interpret EOBs Required
Insurance verification experience Required
Experience with payment postings Required
Call center, customer service experience (inbound/outbound calls) Required
Revenue cycle experience Preferred
Proficiency in Microsoft Office (Excel, Word, Outlook, Teams) Preferred
Experience with secondary and tertiary billing Preferred
Familiarity with complex insurance scenarios Preferred
Experience with multi-layered billing processes Preferred
Adherence to HIPAA guidelines
Ability to work 40 hours per week

Benefits

Comp & perks

Career development opportunities
Potential to convert to a full-time IQVIA employee
Health and welfare and/or other benefits may be offered
Incentive plans, bonuses, and/or other forms of compensation may be offered