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Freelance Care Review Processor Jobs (NOW HIRING)

Essential Job Duties • Provides telephone, clerical and data entry support for the care review ... in processing of clinical correspondence. • Ability to work effectively in a fast-paced, high ...

Care Review Processor

Long Beach, CA · On-site

$20.34 - $30.39/hr

Essential Job Duties Provides telephone, clerical and data entry support for the care review team ... processing of clinical correspondence. Ability to work effectively in a fast-paced, high-volume ...

Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...

Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...

Care Review Clinician

Dunlap, IL · On-site

$40 - $42/hr

Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...

Care Review Clinician works with the Utilization Management team primarily responsible for medical ... Verify member benefits and eligibility and Process prior authorization determinations within ...

Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades ... Follow members from admission process all the way through to discharge, find discharge plan and ...

Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades ... process through claim review, medical record review and research. To provide expert knowledge in ...

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Freelance Care Review Processor information

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How much do freelance care review processor jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for freelance 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 is the difference between Freelance Care Review Processor vs Freelance Medical Claims Reviewer?

AspectFreelance Care Review ProcessorFreelance Medical Claims Reviewer
CredentialsTypically requires healthcare knowledge, certification in medical coding or reviewRequires medical billing/coding certification, healthcare background
Work EnvironmentRemote, flexible hours, project-basedRemote, often part-time or freelance, industry-specific
Employer & IndustryHealthcare companies, insurance firms, telehealth servicesInsurance companies, healthcare providers, third-party administrators
Search & Comparison IntentUnderstanding review roles in healthcare, freelance review jobsComparing medical claims review roles, freelance healthcare jobs

Both roles involve healthcare review tasks and require relevant certifications. The main difference lies in their focus: Care Review Processors evaluate patient care plans, while Medical Claims Reviewers assess insurance claims for accuracy and compliance. Both jobs are remote, flexible, and industry-specific, catering to healthcare professionals seeking freelance opportunities.

What does a freelance care review processor do?

A freelance care review processor evaluates and verifies care-related documentation, such as patient records or service reports, to ensure accuracy and compliance. They typically review information remotely, using specialized software, and may need strong attention to detail and knowledge of healthcare or social service standards.
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What states have the most Freelance Care Review Processor jobs?

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The top searched job categories for Freelance Care Review Processor jobs are:

Infographic showing various Freelance Care Review Processor job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 70% Full Time, 21% Part Time, and 7% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $34,822 per year, or $16.7 per hour.

$20.34 - $30.39/hr

Full-time

Posted 24 days ago


Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

171st of 315 rated insurance


Job description

JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. 
Essential Job Duties 
• Provides telephone, clerical and data entry support for the care review team. 
• Provides computer entries of authorization request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits status determination, hospital census information regarding admissions and discharges and billing codes. 
• Responds to requests for authorization of services submitted via phone, fax and mail according to operational timeframes. 
• Contacts physician offices according to department guidelines to request missing information from authorization requests or for additional information as requested medical directors. 
Required Qualifications

• At least 1 year of experience in an administrative support role, preferably within a health care environment supporting correspondence or clinical communications, or equivalent combination of relevant education and experience. 
• Strong attention to detail, and ability to work within regulatory and internal requirements for letter generation. 
• Strong organizational and time-management skills, and ability to manage multiple letter queues and deadlines. 
• Excellent verbal and written communication skills, and ability to ensure clarity and precision in all correspondence. 
• Willingness to learn and adapt to new programs, software systems, and lines of business. 
• Ability to research, obtain feedback, and integrate necessary adjustments into letters to meet quality standards. 
• Ability to manage multiple tasks simultaneously, and ensure quality and compliance in all produced correspondence. 
• Ability to maintain confidentiality and ensure compliance with all relevant guidelines, regulations, and policies in processing of clinical correspondence. 
• Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet deadlines. 
• Ability to collaborate effectively with team members and internal departments. 
• Basic Microsoft Office suite/applicable software program(s) proficiency. 
Preferred Qualifications 
• Previous experience in a health care correspondence or clinical communications role, with an understanding of regulatory and accreditation rules related to clinical determinations. 
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $20.34 - $30.39 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.


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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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