About Us:
We are a leading healthcare services provider committed to delivering exceptional patient care and ensuring billing accuracy. As part of our ongoing efforts to streamline operations and maintain high standards of financial integrity, we are seeking a dedicated CVS Bill Reviewer to join our fully remote team. If you have a strong background in medical billing, enjoy problem-solving, and are passionate about ensuring accurate financial transactions, we invite you to become part of our dynamic team.

Job Summary:
The CVS Bill Reviewer is responsible for examining and verifying billing information related to CVS services to ensure accuracy, compliance, and proper coding. In this role, you will work remotely from anywhere in the United States, meticulously reviewing bills, identifying discrepancies, and collaborating with internal teams to resolve issues. You will play a critical role in preventing billing errors, reducing potential revenue loss, and ensuring that our patients and providers receive accurate financial documentation.

Key Responsibilities:

• Bill Examination: Carefully review CVS bills, claims, and supporting documentation to verify that all charges, procedures, and services are accurately coded and in compliance with current industry standards.
• Error Identification: Detect errors, inconsistencies, or potential fraudulent charges in billing statements, and promptly flag these issues for further investigation.
• Compliance Verification: Ensure that all billing practices meet regulatory requirements and adhere to established guidelines (including ICD-10, CPT, and HCPCS coding standards).
• Collaboration: Work closely with billing, coding, and compliance teams to clarify discrepancies, implement corrective measures, and optimize billing processes.
• Documentation: Maintain detailed records of all reviewed bills, including notes on discrepancies and actions taken to resolve any issues.
• Reporting: Prepare comprehensive reports summarizing audit findings, trends, and recommendations for process improvements to management.
• Continuous Learning: Stay current with updates in billing guidelines, industry standards, and regulatory changes to ensure ongoing compliance and accuracy.

Qualifications & Skills:

• Experience: Minimum of 2-3 years’ experience in medical billing, coding, or bill review, preferably within a CVS or similar healthcare setting. Experience in remote work is advantageous.
• Technical Proficiency: Familiarity with billing software, electronic medical records (EMR) systems, and Microsoft Office applications. Strong understanding of healthcare reimbursement models and coding systems is essential.
• Attention to Detail: Exceptional analytical skills with a keen eye for identifying errors and inconsistencies in financial documents.
• Communication: Excellent verbal and written communication skills, with the ability to clearly articulate issues and collaborate effectively with remote team members.
• Organizational Skills: Ability to manage multiple tasks and deadlines in a fast-paced environment while maintaining accuracy and efficiency.

Why Join Our Team?
As a CVS Bill Reviewer, you will contribute to the financial integrity of our healthcare services by ensuring that billing practices are accurate and compliant. This remote role offers the flexibility to work from anywhere in the United States while enjoying competitive pay, comprehensive benefits, and opportunities for professional growth. If you are detail-oriented, proactive, and committed to excellence in healthcare billing, we encourage you to apply and help us deliver outstanding service to our patients and providers.