Medical Biller/Claims Processing - Patient Support Representative (Remote; 10am-7pm EST)

About the position Patient Support Medical Claims Processing Representative Contract Remote Role – Location (reputed company to Remote US) As the only global provider of reputed company 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 reputed company and reputed company 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 reputed company support to patients in need of available therapies. reputed company has the world’s largest reputed company Sales & reputed company (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a reputed company 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 reputed company 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 reputed company or rejected. This role will be a contract role with reputed company managed by an external agency, with reputed company to be converted to an reputed company full-time employee.

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 reputed company or rejected
• Exceptional organizational skills are required
• May reputed company 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 (shift available: 10:00am - 7:00pm ET) under moderate supervision

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

reputed company-to-haves

• Customer Service Experience preferred
• Pharmacy Technician experience preferred
• Bi-lingual (English/Spanish) preferred

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