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Work From Home Medical Claims Processing Jobs in Texas

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

We are excited to announce an opening for a 100% remote (work from home) Patient Support Medical ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

Health Care Service Corporation

Claim Technician

Houston, TX · On-site +1

$17.75 - $26.17/hr

Experience processing medical claims. Preferred Job Qualifications: * Referral preference given to ... After 5 weeks, the role will move to work from home with periodic in office training or meetings as ...

The Jernigan Agency

WORK FROM HOME

Corpus Christi, TX · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... See the application through the underwriting process and get our clients covered. Requirements for ...

SYDIERA

Medical Biller & Coder

Houston, TX · On-site +1

$18 - $23/hr

Remote (Work From Home) Type: Independent Contractor (1099) Company: Rooted Talent Solutions ... Process and submit medical claims accurately and efficiently * Review patient charts and assign ...

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Work From Home Medical Claims Processing information

What is a work from home medical claims processing?

A Work From Home Medical Claims Processing job involves reviewing, verifying, and processing medical insurance claims from a remote location. Responsibilities typically include checking claims for accuracy, ensuring compliance with insurance policies, and submitting claims for reimbursement. This role requires knowledge of medical coding, billing procedures, and insurance guidelines. Strong attention to detail and proficiency with billing software are essential for success in this position. Many employers prefer candidates with prior experience or relevant certifications in medical billing and coding.

What are the key skills and qualifications needed to thrive in work from home medical claims processing?

To excel in Work From Home Medical Claims Processing, strong attention to detail, knowledge of medical terminology and billing codes, and prior experience in claims or healthcare administration are typically required. Familiarity with claims processing software (such as Facets, Epic, or Medisoft) and knowledge of HIPAA compliance are highly valuable, and certification such as Certified Professional Coder (CPC) can be an advantage. Excellent organizational skills, time management, and effective written communication help professionals handle caseloads efficiently and collaborate remotely. These skills and qualities are vital for ensuring accuracy, compliance, and timely processing of claims in a fast-paced, virtual environment.

What are some common challenges faced in work from home medical claims processing, and how can they be managed?

One common challenge in a remote medical claims processing position is maintaining clear communication and collaboration with colleagues and supervisors, since the team operates virtually. Staying organized and self-motivated is essential, as you'll need to manage a steady volume of claims independently and meet strict deadlines. To overcome these challenges, many employers provide regular virtual check-ins, ongoing training, and access to online support tools, making it easier to ask questions and share updates. By proactively reaching out when clarification is needed and effectively utilizing provided resources, remote claims processors can remain connected and productive.

What are popular job titles related to Work From Home Medical Claims Processing jobs in Texas?

For Work From Home Medical Claims Processing jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Work From Home Medical Claims Processing jobs in Texas look for?

The top searched job categories for Work From Home Medical Claims Processing jobs in Texas are:

What cities in Texas are hiring for Work From Home Medical Claims Processing jobs?

Cities in Texas with the most Work From Home Medical Claims Processing job openings:

Work From Home Medical Claims Processing jobs near you
Infographic showing various Work From Home Medical Claims Processing job openings in Texas as of August 2026, with employment types broken down into 83% Full Time, 10% Part Time, and 7% Contract. Highlights an 100% Remote job distribution.

Medical Biller/Claims Processing

Houston, TX • Remote

IQVIA
Health Care and Social Assistance • 10K+ employees

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

63rd of 226 rated it services

People enjoy working here

Good employer

Paid breaks

Learn more about IQVIAexternal

$23/hr

Full-time

Re-posted 7 days ago

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.
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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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