Medical Claims Reviewer Jobs – (At Remote RN)

CVS Health is hiring experienced Registered Nurses (RNs) for fully remote Medical Claims Reviewer positions. This non-clinical RN role focuses on evaluating and processing medical claims, ensuring compliance with healthcare standards. Job Overview: - Job Title: Medical Claims Reviewer (Remote RN) - Company: CVS Health - Location: Remote (United States only) - Employment Type: Full-Time - Salary Range: $75,000 – $95,000 per year Responsibilities: - Review medical claims for clinical accuracy - Validate coding and coverage eligibility - Communicate with providers - Ensure compliance with HIPAA and CMS Qualifications: - Active U.S. RN license - 3+ years clinical experience - Background in claims review/utilization review - Knowledge of CPT/ICD-10 coding - Detail-oriented and analytical Benefits: - Remote flexibility - Full healthcare coverage - PTO and 401(k) - Advancement opportunities How to Apply: Submit your resume and RN license online. Qualified applicants will be invited for virtual interviews. Apply Job!