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Care Review Processor Jobs (NOW HIRING)

Kaiser Permanente

RN, Specialty Care Review

Atlanta, GA · On-site

$40.35/hr

Understands the Complex Case Management Program and referral process; Refers patients to the ... Performs quality of care and service reviews using identified quality indicators. Reviews the ...

Oscar Health

Sr. Quality of Care Review Nurse

Dallas, TX · Remote

$83K - $109K/yr

The Senior Clinical Quality Nurse drives clinical performance through the quality auditing and clinical quality of care review process for the departments they serve. The Clinical Quality Nurse ...

Kaiser Permanente

RN, Targeted Review

Atlanta, GA · On-site

$40.35/hr

Performs quality of care and service reviews using identified quality indicators. Coordinates and ... process. Builds effective working relationships with physicians and other departments within the ...

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How much do care review processor jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for care review processor in the United States is $16.74, according to ZipRecruiter salary data. Most workers in this role earn between $13.46 and $19.23 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Care Review Processor position, and why are they important?

A Care Review Processor requires a solid understanding of healthcare procedures, medical terminology, and insurance guidelines, typically supported by experience in medical claims or healthcare administration. Familiarity with claims management software, electronic health records (EHR) systems, and Microsoft Office is often necessary, along with knowledge of HIPAA compliance requirements. Strong attention to detail, organizational skills, and the ability to communicate effectively with medical professionals and insurance providers are vital soft skills. These competencies ensure accurate review and processing of care requests while supporting efficient, compliant healthcare operations.

What are the typical daily responsibilities of a Care Review Processor?

As a Care Review Processor, your day-to-day responsibilities usually include reviewing medical records and authorization requests, verifying insurance coverage, ensuring documentation is complete, and coordinating with healthcare providers to clarify information. You may also be responsible for entering data into claims systems, communicating with patients or case managers, and helping to resolve discrepancies or incomplete submissions. Most of your work will involve close attention to detail and following established healthcare or insurance processes. Teamwork is often part of the role, as you may collaborate with clinicians, billing teams, and customer service representatives to facilitate accurate and timely care reviews.

What is a Care Review Processor job?

A Care Review Processor is responsible for reviewing medical claims, authorizations, and healthcare documentation to ensure accuracy, completeness, and compliance with company policies and regulations. They work with healthcare providers, insurance companies, and internal teams to process claims efficiently. Their role helps streamline patient care by validating medical necessity and ensuring proper claim adjudication. Strong attention to detail and knowledge of medical terminology are essential for success in this position.

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Care Review Processor jobs near you
Infographic showing various Care Review Processor job openings in the United States as of July 2026, with employment types broken down into 87% Full Time, and 13% Contract. Highlights an 62% In-person, and 38% Remote job distribution, with an average salary of $34,822 per year, or $16.7 per hour.
Financial Aid Title IV Review Processor

Financial Aid Title IV Review Processor

Lincoln Technical Institute

Parsippany, NJ • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Lincoln Tech rating

9.4

Company rating: 9.4 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

7th of 553 rated colleges and universities

Job description

Lincoln Tech is seeking aFA Title IV File Processor who will beresponsible for staying current with federal rules and regulations, knowing Lincoln's internal processes, packaging schematics for all program offerings, and Regulating requirements for funding Title IV funds.
Requirements
  • Minimum of 2 years experience with processing for multiple locations in a centralized environment
  • Prior Financial Aid Experience in packaging various types of federal, state, and institutional funding
  • Proficient in the use of Office 365, Campus Nexus a plus
Preferred:
  • Bachelor's degree
Responsibilties
  • Review and approve assigned documents needed for file completion
  • Confirm and approve Title IV eligibility according to the student's FA Funding Estimate
  • Ensure that the student's Title IV Aid is awarded appropriately in the FA Packaging System
  • Ensure all direct costs are awarded in the student's FA Funding Estimate
  • Provide accurate and timely feedback regarding Title IV review outcomes
  • Meet the file review minimum daily and weekly quotas set by managers
  • Maintain regulatory and system knowledge relating to assigned processing areas
Full-Time Benefits
  • Medical, Dental and Vision
  • Life and Disability Insurance
  • 401(k) with Company Match
  • Paid Holidays and Paid Time Off
  • Growth Opportunities
  • Ongoing Training Support

For 80 years Lincoln Tech has been one of the nation's leading providers of career training in Healthcare, Automotive/Diesel, Skilled Trades, Information Technology. We are an Equal Opportunity and Affirmative Action Employer.

Learn More
  • Email: careers@lincolntech.edu
  • Website: www.lincolntech.edu/careers

919-21600 - FA Title IV Review Processor-15099

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About Lincoln Tech

Sourced by ZipRecruiter

For over 75 years Lincoln Tech has been one of the nation's leading providers of career training in Healthcare, Automotive/Diesel, Skilled Trades, Information Technology, Cosmetology, and Culinary Arts

Industry

Colleges, universities, and professional schools

Company size

1,001 - 5,000 Employees

Headquarters location

Parsippany, NJ, US

Year founded

1946

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