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Freelance Care Review Processor Jobs (NOW HIRING)

Molina Healthcare

Care Review Clinician (RN)

Long Beach, CA · On-site +1

$23.76 - $51.49/hr

... processes. Responsible for verifying that services are medically necessary and align with ... acute care, inpatient review, prior authorization, managed care, or equivalent combination of ...

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 ...

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 ...

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 ...

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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 Jul 20, 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 jobs pay 4000 a week without a degree?

A Freelance Care Review Processor typically earns income based on the volume and quality of reviews processed, which can vary widely; earning $4,000 a week may require high productivity, specialized skills, or working with high-paying clients. Generally, such income levels are more common in freelance or contract roles that rely on experience, efficiency, and sometimes niche expertise rather than formal education. Most jobs paying this amount without a degree are in sales, consulting, or specialized freelance services, but consistent high earnings often depend on individual performance and market demand.

Is it hard to get hired at Molina?

For a Freelance Care Review Processor, getting hired at Molina can depend on experience with healthcare claims and review processes. The application process typically involves submitting a resume, demonstrating relevant skills, and passing any required assessments or background checks. Competition may vary based on the position and location, but relevant healthcare knowledge can improve chances of employment.

What is a care review processor?

A care review processor is a professional who evaluates and verifies healthcare or service reviews to ensure accuracy and compliance. This role often involves reviewing documentation, using data management tools, and adhering to confidentiality standards, typically working in a remote or office environment. Strong attention to detail and knowledge of healthcare policies are important for success in this position.

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.

How to make 2000 a week working from home?

A Freelance Care Review Processor can increase earnings by handling a high volume of reviews efficiently, often by working flexible hours and developing strong attention to detail. Earning $2000 weekly typically requires consistent workload, good time management, and possibly multiple clients or platforms to reach that income level.
More about Freelance Care Review Processor jobs
What cities are hiring for Freelance Care Review Processor jobs? Cities with the most Freelance Care Review Processor job openings:
What are the most commonly searched types of Care Review Processor jobs? The most popular types of Care Review Processor jobs are:
What states have the most Freelance Care Review Processor jobs? States with the most job openings for Freelance Care Review Processor jobs include:
What job categories do people searching Freelance Care Review Processor jobs look for? The top searched job categories for Freelance Care Review Processor jobs are:
Freelance Care Review Processor jobs near you
Infographic showing various Freelance Care Review Processor job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 70% Full Time, 22% Part Time, and 6% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $34,822 per year, or $16.7 per hour.
Care Review Processor

Care Review Processor

Integrated Resources INC

El Paso, TX

Full-time

Posted 19 days ago

Job description

Job Description

Job Title: Care Review Processor

Duration: 4+ months contract

Location: Texas USA 79902

Hours: Mon- Fri 8:00 AM to 5:00 PM

Top Three Skill Sets: Customer Service, Computer Skills and medical terminology

Job Description:

  • Provide computer entries of authorization request/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits, Determine provider contracting status and appropriateness, Determine diagnosis and treatment request Assign billing codes (ICD-9/ICD-10 and/or CPT/HCPC codes), Determine COB status, Verify inpatient hospital census-admits and discharges, Perform action required per protocol using the appropriate Database.
  • Respond to requests for authorization of services submitted to CAM via phone, fax and mail according to Client's operational timeframes.
  • Participates in interdepartmental integration and collaboration to enhance the continuity of care for Client members including Behavioral Health and Long Term Care.
  • Contact physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by the Medical Director.
  • Provide excellent customer service for internal and external customers.
  • Meet department quality standards, including inter-rater reliability (IRR) testing and quality review audit scores.
  • Notify Care Access and Monitoring Nurses and case managers of hospital admissions and changes in member status.
  • Meet productivity standards.
  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).

EDUCATION:

  • Accurate data entry at 40 WPM minimum.
  • Required Education: High School Diploma/GED
  • Required Experience: 1-4 years of experience in a Utilization Review Department in a Managed Care Environment.
  • Previous Hospital or Healthcare clerical, audit or billing experience. Experience with Medical Terminology
Additional Information

All your information will be kept confidential according to EEO guidelines.

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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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