22 utilization review assistant jobs at 20 companies in United States
4d
Save
Mark Applied
Hide
4d
Utilization Review Assistant
Long Beach, California, United States
$24-$35/hrOnsiteFull Time
MemorialCare: Operates hospitals and provides integrated outpatient medical services.
2+ YOE2+ years medical office/UR/admissions or LVN experience; ability to verify eligibility, obtain authorizations, navigate payer portals, document in EMR, and meet productivity timeliness standards.
Odyssey House: Holistic substance use and mental health treatment services provider.
3+ YOEAdministrative support in healthcare; HS diploma or GED with 3 years experience or associate degree; strong organization; proficient in MS Office and EHR; excellent communication.
Microsoft Word, Excel, Electronic Health Records, Outlook
Summit BHC: Operates behavioral health and addiction treatment centers nationwide.
Supports utilization review and insurance verification, conducts benefit checks and pre-certifications, reviews medical records for level-of-care appropriateness, coordinates with payers and business office, and documents utilization management activities.
Clarvida: Provides behavioral health, mental health, and foster care services.
Licensed LCSW/LPC/LMSW/LAPC; ability to train staff, communicate effectively, review documentation, perform utilization reviews, track service utilization, assist with audits, and test EMR functionality.
Acadia HealthcareNASDAQ: ACHC: Provides inpatient and outpatient behavioral healthcare and addiction treatment.
2+ YOEProvides utilization management by liaising with managed care organizations, conducting certification reviews, monitoring length of stay, initiating appeals, assisting pre-certifications, and reporting utilization and quality metrics.
US HealthVest: Operates specialized psychiatric hospitals and outpatient behavioral health centers
1+ YOE1+ year administrative experience in healthcare preferred; associate degree preferred; typing 65 wpm; proficiency with Word and Excel; ability to work flexible hours and overtime.
Woburn or Canton or Scarborough or Concord or Massachusetts or Maine or New Hampshire
$24-$25/hrRemoteFull Time
New England Life Care: Provides home infusion therapy and specialty pharmacy services.
Requires Medical Assistant certification, healthcare experience, knowledge of federal/state fraud and abuse laws, managed care/utilization review experience, and competency with Microsoft Word/Outlook and computer systems.
Avēsis: Administers supplemental dental, vision, and hearing health insurance benefits.
2+ YOEDental clinical expertise to review x-rays and records for prior authorizations; 2+ years dental assistant or hygienist experience; high school diploma; 13–18 cases/hour productivity; reliable high-speed internet and remote workspace.
Microsoft Teams, Microsoft Outlook, Microsoft Office, Windows
LCMC Health: Provides non-profit healthcare services and medical education in Louisiana.
2+ YOEHigh School Diploma/GED plus 2 years healthcare office/clerical experience (or 4 years experience in lieu); ability to assist utilization review, intake, tracking clinical reviews to payors, coordinate post-hospital care, and complete discharge documentation.
MorseLife Health System: Provides comprehensive senior living and healthcare services for older adults.
1+ YOEExperience scheduling specialty appointments, managing medical record requests, utilization review, strong computer skills (EMR, Microsoft Office), customer service, and 1 year healthcare experience preferred.
Electronic Medical Records (EMR), Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft PowerPoint
Vibra Healthcare: Operator of specialty acute care and medical rehabilitation hospitals.
1+ YOEHigh school diploma, 1+ year administrative experience in healthcare, knowledge of medical terminology, strong computer/data processing skills, and ability to support discharge planning and utilization review.
CommonSpirit Health: Operates a national non-profit Catholic health system.
1+ YOEHigh school diploma; 1-2 years hospital/acute care or insurance case management experience; knowledge of managed care, utilization review, discharge planning; proficient in Microsoft Office; strong communication and patient advocacy skills.
3+ YOEGraduate of an accredited PA program, current NCCPA (PA-C) and active PA license in at least one U.S. state, 3+ years supporting orthopedic spine surgeons/neurosurgeons, utilization management experience a plus.
Southern Administrative Services: Managing person-centered long-term care facilities in cottage-style settings.
2+ YOELicensed nurse (RN or LPN) or equivalent experience; 2+ years in skilled nursing, case management, utilization review, or managed care; experience with authorizations and appeals, PDPM/MDS, EMR and Microsoft Office; strong communication and organizational skills.
Electronic Medical Records (EMR), Microsoft Office
Perform utility coordination and relocations: contact utility owners, analyze survey/blueprint/SUE and topographical data, review design accuracy, prepare utility plans using computer-assisted engineering/design software, and liaise with utility companies and DOTs.
City of Nashua: Providing municipal governance and public services for Nashua residents.
Knowledge of municipal utility/building codes, inspections, plan review; ICC certifications as One/Two Family Combination Inspector and Residential Plans Examiner or ability to pass within 2 years; strong communications; ability to educate the public; PC/MS Office proficiency; social media/graphics helpful.
Office Suite, Building Software / Databases, PC literacy
Exact Billing Solutions: Provides revenue cycle management and medical billing for healthcare providers.
1+ YOEReview and analyze clinical records, input and maintain records, assist in authorizations and utilization reviews, coordinate with insurers, and support audits.
Electronic Health Records (EHR), Utilization Review Systems, Insurance Claims Systems, Documentation and Records Management, Microsoft Office Suite
Beaufort Memorial Hospital: Provides acute care and comprehensive medical services in South Carolina.
Works under RN supervision to assist with psychiatric and nursing care, build therapeutic relationships, adapt care by patient age/outcomes, and fill in for utilization review.