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Experienced Medical Biller/Coder

1 month ago


Los Angeles, California, United States IQVIA INC (US10) Full time

Medical Biller/Coder Role

IQVIA INC (US10) is seeking a skilled Medical Biller/Coder to join our team. As a key member of our Commercial Sales & Medical Solutions (CSMS) organization, you will play a vital role in providing payment assistance solutions to patients in need of available therapies.

Key Responsibilities:

  • Receive and process medical claims from healthcare providers and patients, ensuring accurate and timely payment.
  • Interpret Explanation of Benefits (EOB) and apply program-specific business rules to determine claim eligibility.
  • Provide exceptional customer service via phone, email, or other communication channels.
  • Collaborate with management to identify operational challenges and suggest recommendations for improvement.

Requirements:

  • High School Diploma or equivalent.
  • Experience in claim processing and medical billing/coding.
  • Medical Billing Certification and Coding Certification required.
  • Ability to interpret EOB and apply business rules.
  • HIPPA certification.
  • Customer Service experience preferred.
  • Bi-lingual (English/Spanish) preferred.

IQVIA INC (US10) is an Equal Opportunity Employer.

We are committed to providing equal employment opportunities for all, including veterans and candidates with disabilities.