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Medicaid Claims Processing Remote Jobs in Georgia

IQVIA

Medical Biller/Claims Processing

Atlanta, GA · Remote

$23/hr

Patient SupportMedicalBillingRepresentative Contract Remote Role - Location (Open to Remote US) At ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

Karna, LLC

$20 - $25/hr

Minimum of 5 years' experience in medical claims processing, including professional and facility ... PM18 #remote

Conduent, Inc.

Senior Business Analyst (MMIS)

Atlanta, GA · On-site +1

$89K - $114K/yr

Senior Business Analyst - CMdS Claims, Medicaid Enterprise Systems (MES) Experience: 10+ years ... Produce BRDs, FRDs, process flows, data mapping, gap analysis, and configuration workbooks suitable ...

Conduent, Inc.

Business Analyst (MMIS)

Atlanta, GA · On-site +1

Medicaid Enterprise Systems (MES) | MMIS modernization | Claims / Member / Finance Role summary ... Produce BRDs, FRDs, process flows, data mapping, gap analysis, and configuration workbooks suitable ...

Conduent, Inc.

Business Analyst (MMIS)

Atlanta, GA · On-site +1

Medicaid Enterprise Systems (MES) | MMIS modernization | Claims / Member / Finance Role summary ... Produce BRDs, FRDs, process flows, data mapping, gap analysis, and configuration workbooks suitable ...

Great American Insurance Group

$20 - $27/hr

... and processed accurately and efficiently. This role serves as a key partner to adjusters by ... This is a remote, work-from-home position for candidates located within the Mountain or Central ...

Reserv, Inc.

Claims Manager - Trucking (BI)

Atlanta, GA · On-site +1

... in a remote environment * Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes * Demonstrated commitment to quality ...

Reserv, Inc.

Claims Team Lead

Atlanta, GA · On-site +1

... in a remote environment * Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes * Demonstrated commitment to quality ...

Reserv, Inc.

APD Claims Team Lead

Atlanta, GA · On-site +1

Align team with client and customer expectations of the claims process * Serve as a resource for ... Foster a culture of empathy, transparency, and empowerment in a remote-first environment At Reserv ...

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Medicaid Claims Processing Remote information

What is Medicaid claims processing remote?

Medicaid Claims Processing Remote refers to the job of reviewing, analyzing, and processing Medicaid insurance claims from a location outside of a traditional office, often from home. Professionals in this role ensure that claims are accurate, complete, and comply with Medicaid regulations before approving or denying payment. Remote workers use specialized software to access claim information securely and may communicate with healthcare providers and patients to gather additional details. This job requires attention to detail, knowledge of Medicaid policies, and the ability to work independently. Remote claims processors play a crucial role in ensuring the timely and accurate reimbursement of healthcare services for Medicaid recipients.

What are the key skills and qualifications needed to thrive as a Medicaid claims processing remote professional?

To thrive in a Medicaid Claims Processing Remote role, you need a solid understanding of medical billing, coding, and Medicaid regulations, typically supported by experience in healthcare administration or claims processing. Familiarity with claims management software, medical coding systems (such as ICD-10 or CPT), and electronic data interchange (EDI) platforms is essential. Strong attention to detail, organizational skills, and effective communication are crucial soft skills for accuracy and collaboration. These skills ensure timely and accurate processing of claims, compliance with regulations, and effective resolution of claim issues in a remote environment.

What are some common challenges faced in a remote Medicaid claims processing position, and how can they be managed?

Working remotely as a Medicaid Claims Processor can present challenges such as staying up-to-date with changing regulations, maintaining attention to detail when reviewing large volumes of claims, and ensuring secure handling of sensitive patient data. To manage these challenges, it's important to regularly participate in team training sessions, utilize checklists or claim management software to minimize errors, and follow strict data security protocols. Open communication with supervisors and colleagues through virtual platforms also helps in resolving complex claims and staying connected with team goals.

What are the most commonly searched types of Medicaid Claims Processing jobs in Georgia?

The most popular types of Medicaid Claims Processing jobs in Georgia are:

What are popular job titles related to Medicaid Claims Processing Remote jobs in Georgia?

For Medicaid Claims Processing Remote jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Medicaid Claims Processing Remote jobs in Georgia look for?

The top searched job categories for Medicaid Claims Processing Remote jobs in Georgia are:

What cities in Georgia are hiring for Medicaid Claims Processing Remote jobs?

Cities in Georgia with the most Medicaid Claims Processing Remote job openings:

Medicaid Claims Processing Remote jobs near you
Infographic showing various Medicaid Claims Processing Remote job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, 1% Temporary, 4% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution.

Medical Biller/Claims Processing

IQVIA

Atlanta, GA • Remote

$23/hr

Full-time

Posted 25 days ago

IQVIA rating

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

62nd of 226 rated it services

Job description

Patient SupportMedicalBillingRepresentative

Contract Remote Role - Location (Open to Remote US)

At IQVIA, we are driven by a shared purpose: to improve patients' lives through innovative healthcare solutions. As a global leader in commercial services, we bring life-changing therapies and support programs to the people who need them most. Our workplace is rooted in belonging, collaboration, and continuous improvement-where every team member is empowered to make an impact.

As aPatient Support Medical Billing Representative,you'llbe part of a team that delivers meaningfulassistanceto patients through co-pay cards, vouchers, andclaimssupport. We invest in your success with career development opportunities and a culture that values client focus, flawless execution, teamwork, integrity, and results.

We are excited to announce an opening for a100% remote (work from home)Patient Support Medical Billing Representativeto join our team!In this role, you will provide paymentassistancesolutions such as co-pay cards or vouchers to patients. Your primary responsibility will be to receive medical claims from healthcare providers (HCPs) or patients, review supporting documentation, and vet each claim against program-specific business rules todeterminewhether it should be paid or rejected.This is acontract position with IQVIA, managed by an external agency, with thepotential to convert to a full-time IQVIA employee.

Job Responsibilities

  • Receive medical claims from healthcare providers (HCPs) or patients and ensure all required supporting documentation is provided.

  • Interpret Explanation of Benefits (EOB) and CMS-1500 forms.

  • Evaluate claims against program-specific business rules todetermineapproval or rejection.

  • Maintain exceptional organizational skills to manage dailyworkload.

  • Provide support to customer inquiries via phone, email, fax, or other communication channels.

  • Identifyoperational challenges and recommend solutions to management as needed.

  • Adhere to HIPAA guidelines.

  • Prioritize tasks effectively throughout the day.

  • Meet daily productivity and quota expectations.

  • Work40 hoursper week under moderate supervision.

Minimum Education & Experience

  • High School Diploma or equivalent Required

  • Completion of Medical Billing Program or Medical Billing degree or Certified Medical BillinglicenseRequired

  • Experience in claim processing Required

  • Ability to interpret EOBs Required

  • Insurance verificationexperience Required

  • Experience with payment postings Required

  • Callcenter,customer service experience (inbound/outbound calls) Required

  • Revenue cycle experience Preferred

  • Proficiencyin Microsoft Office (Excel, Word, Outlook, Teams) Preferred

  • Experience with secondary and tertiary billing Preferred

  • Familiarity with complex insurance scenarios Preferred

  • Experience with multi-layered billing processes Preferred

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.

#LI-CES

#LI-Remote

#LI-DNP

IQVIA 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.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.

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.

What IQVIA employees say

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Benefits

Hours and flexibility

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About IQVIA

Sourced by ZipRecruiter

At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

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