BI-LINGUAL SPANISH PATIENT SUPPORT MEDICAL/BILLER CLAIMS PROCESSING REPRESENTATIVE

3 weeks ago

Phoenix AZ USA, United States IQVIA, Inc. Full time
Bi-lingual Spanish Patient Support Medical Claims Processing Representative
Contract Remote Role - Location (Open to Remote US)

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 (two shifts: 8:30 am EST - 5:30 pm EST or 11:00 am EST - 8:00pm EST) under moderate supervision

Minimum Education & Experience:
  • High School Diploma or equivalent
  • Experience in claim processing required
  • Medical Billing and Coding Certification required
  • Ability to interpret Explanation of Benefits (EOB)
  • HIPPA certified
  • Customer Service Experience preferred
  • Pharmacy Technician experience preferred
  • Bi-lingual (English/Spanish) is required

The pay range for this role is $23.00 per hour.

IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. 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.

IQVIA is a leading global provider of advanced analytics, technology solutions and clinical research services to the life sciences industry. We believe in pushing the boundaries of human science and data science to make the biggest impact possible - to help our customers create a healthier world. Learn more at https://jobs.iqvia.com

We are committed to providing equal employment opportunities for all, including veterans and candidates with disabilities. https://jobs.iqvia.com/eoe

IQVIA's ability to operate and provide certain services to customers and partners necessitates IQVIA and its employees meet specific requirements regarding COVID-19 vaccination status. https://jobs.iqvia.com/covid-19-vaccine-status

The potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

  • Bi-Lingual Clinical Nurse

    1 week ago

    Phoenix, United States Phoenix Children’s Full time

    Position Summary Posting Note: This is a very special position for a bi-lingual RN who likes to reach out to the community and help children who have asthma, or reactive airway disease. This position does require the incumbent to staff the "Breath Mobile" two days a week with the provider driving through the communities in a state of the art bus to...

  • Medical Biller

    2 weeks ago

    Phoenix, United States Medix Full time

    You must live in state of Arizona in order to qualify for this position! * We are looking for a remote Medical Biller to join a Behavioral Health Organization * The position arises from NextGen's claims duplication issue, requiring diligent review, voiding, follow-up, and processing of claims. * Reporting to the Manager, Transactional Claims, the ideal...

  • Medical Biller and Coder

    1 month ago

    Phoenix, United States LHH Recruitment Solutions Full time

    LHH Recruitment Solutions is currently seeking a Medical Biller for a growing organization. As a Medical Biller, you will play a crucial role in processing and submitting medical claims to insurance companies or government payers for reimbursement. You will play a crucial role in ensuring healthcare providers receive timely and accurate payment for the...

  • Medical Biller

    1 week ago

    Phoenix, United States Meadows Of Wickenburg Inc Full time

    **This is where you change your story** - At Meadows we understand that new directions to career advancing and improvement can be scary, but we are excited to offer you a possible new rewarding chapter with us! Come join us in transforming lives!_ **Who are we?** - We have been the most trusted name in the industry and have been helping people for 45 years....

  • Insurance Verification Representative

    4 weeks ago

    Phoenix, United States TTF Full time

    Job DescriptionJob DescriptionTTF is recruiting for an Insurance Verification Representative for a growing client in Phoenix, Arizona. This is a contract to possible hire position and the starting pay will depend on experience. Qualified candidates will have at least 2 years of experience in healthcare patient services; high-volume insurance verification...

  • Medical Billing and Collections

    4 weeks ago

    Phoenix, United States TTF Recruitment Full time

    TTF is looking for a few A/R Specialists for full-time, contract-to-hire positions in Phoenix, AZ. These are Monday through Friday positions with a starting pay rate depending on experience. Job duties primarily include insurance follow-up with all medical insurance payors for unpaid or denied claims. Candidates must have experience with Blue Cross...

  • Revenue Cycle Biller III

    3 weeks ago

    Phoenix, United States RI International, Inc. Full time

    RI International is the leader in Peer-Powered Support to those in crisis for mental health and substance use. Our Mission is to empower people to recover, succeed in accomplishing their goals, find meaning and purpose in life, and reconnect with the Biller, Cycle, Revenue, Processing, Claims, International, Healthcare

  • Customer Service Claims Representative

    5 days ago

    Phoenix, AZ, United States USAA Full time

    Why USAA?We have an important mission: serving the members of the military community and their families. We’re looking for those who share our values of honesty, integrity, loyalty and service. Our Customer Service Claims Representative role may be a new career for you. There’s a lot to learn, but the pathway is mapped out and USAA is willing to invest...

  • Customer Service Claims Representative

    5 days ago

    Phoenix, AZ, United States USAA Full time

    Why USAA?We have an important mission: serving the members of the military community and their families. We’re looking for those who share our values of honesty, integrity, loyalty and service. Our Customer Service Claims Representative role may be a new career for you. There’s a lot to learn, but the pathway is mapped out and USAA is willing to invest...

  • Medical Front Office and Financial Counselor

    4 weeks ago

    Phoenix, United States TTF Full time

    Job DescriptionJob DescriptionTTF is recruiting for a Front Office/Financial Counselor position for a growing client in the Ahwatukee area.  This is a Direct Hire position, and the starting pay will depend on experience.  Qualified candidates will have a background in insurance verification and previous experience working with patient financial...

  • Patient Services Representative

    1 day ago

    Phoenix, United States Dignity Health Medical Group Full time

    **Overview** Hello humankindness Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 200 providers and 500 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73...

  • Medical Payment Poster and Cash Applications

    1 day ago

    Phoenix, United States TTF Full time

    Job DescriptionJob DescriptionTTF is recruiting for a Payment Poster for a well-respected healthcare organization located in Phoenix, AZ. This is a contract to potential hire position, Monday - Friday, with a pay range of $19-$22 per hour, depending on experience. Qualified candidates will have previous experience working with all payors, working...

  • Support Representative

    4 days ago

    Phoenix, United States UnitedHealth Group Inc. Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

  • Patient Services Representative

    1 day ago

    Phoenix, United States CommonSpirit Health Full time

    Overview: Hello humankindness Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 200 providers and 500 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73...

  • Customer Service Claims Representative

    5 days ago

    Phoenix, AZ, United States USAA Full time

    Why USAA? Let’s do something that really matters. We have an important mission: serving the members of the military community and their families. It’s both a chance to say thank you and the opportunity to put your talents to work in a meaningful way. To do it right, we need the right people. We’re looking for those who share our values of honesty,...

  • Customer Service Claims Representative

    5 days ago

    Phoenix, AZ, United States USAA Full time

    Why USAA? Let’s do something that really matters. We have an important mission: serving the members of the military community and their families. It’s both a chance to say thank you and the opportunity to put your talents to work in a meaningful way. To do it right, we need the right people. We’re looking for those who share our values of honesty,...

  • Support Representative

    5 days ago

    Phoenix, United States UnitedHealth Group Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by diversity and inclusion,...

  • Nurse Practitioner

    1 week ago

    Phoenix, AZ, United States District Medical Group Full time

    The Department of Ambulatory Care is recruiting a NP to join the team. This opportunity is a full-time position, providing full scope family medicine in an outpatient setting. The Department of Ambulatory Care works out of an outpatient clinic with locations in the metropolitan Phoenix area. The Family Health Centers qualify for the Federal HPSA Loan...

  • Revenue Cycle Biller Iii

    1 month ago

    Phoenix, United States 10 - RI International Full time

    **RI International is the leader in Peer-Powered Support to those in crisis for mental health and substance use.** Our **Mission** is to empower people to recover, succeed in accomplishing their goals, find meaning and purpose in life, and reconnect with themselves and others. Our **Vision **is to activate the next generation of frame-breaking healthcare...

  • Front Office/Financial Counselor

    3 weeks ago

    Phoenix, United States TTF Search and Staffing Full time

    Job DescriptionJob DescriptionTTF is recruiting for a Front Office/Financial Counselor position for a growing client in the Ahwatukee area. This is a Direct Hire position, and the starting pay will depend on experience. Qualified candidates will have a background in insurance verification and previous experience working with patient financial responsibility....