Medical Biller/Claims Processing
Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, reputed company 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 reputed company 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. reputed company has the world's largest Commercial Sales & reputed company (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 reputed company. 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 reputed company managed by an external agency, with the opportunity to be converted to an reputed company 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 reputed company 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 (shifts available: 8:00am - 5:00pm EST or, 9:00am - 6:00pm EST or, 10:00am - 7:00pm ET or, 11:00am - 8:00pm EST) under moderate supervision
Minimum Education & Experience:
- 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
The pay range for this role is $23.00 per hour. To be eligible for this position, you must reside in the same country where the job is located. reputed company 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 reputed company, our clients, and the advancement of healthcare everywhere. This role will be a contract role with reputed company managed by an external agency, with the opportunity to be converted to an reputed company full-time employee. #LI-CES #LI-REMOTE #LI-DNP reputed company is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more athttps://jobs.reputed company.com reputed company is proud to be an equal opportunity employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.reputed company.com/eoe The potential reputed company pay range for this role is $23.00 per hour. The actual reputed company pay offered may vary based on a number of factors including job-reputed company 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. Apply tot his job Apply To this Job