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Prior Authorization
Responsibilities:
- Process incoming medical claims from healthcare providers and patients, ensuring all required documentation is included.
- Apply program-specific business rules to determine claim approval or rejection, interpreting EOBs and CMS-1500 forms.
Qualifications:
- High School Diploma plus completion of a Medical Billing program or Certified Medical Billing license required.
- Experience in claim processing, insurance verification, and payment postings; call center and customer service background preferred.
Work Environment:
- 100% remote contract role with potential to convert to a full-time IQVIA employee.
- Work 40 hours per week under moderate supervision, meeting daily productivity and quota expectations.
IQVIA
IQVIA is a leading global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. With operations in over 100 countries, they cultivate a diverse, collaborative culture focused on improving patient outcomes.