Care Review Processor
$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 ...
New
Care Review Processor
$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 ...
New
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
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
... review for other healthcare services * Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate ...
... review for other healthcare services * Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate ...
Title : Care Review Processor Location : Columbus, OH Duration : 3+ Months Responsibilities : Temp for 90 days, no possibility of going permanent. M-F 8 am to 5 pm, no OT. Building case prior ...
Title : Care Review Processor Location : Columbus, OH Duration : 3+ Months Responsibilities : Temp for 90 days, no possibility of going permanent. M-F 8 am to 5 pm, no OT. Building case prior ...
... • Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. • Screens members using Molina policies and processes assisting ...
... • Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. • Screens members using Molina policies and processes assisting ...
... process through claim review, medical record review and research. To provide expert knowledge in ... care, emergency medicine, surgical, pediatrics, advanced practice nursing, and billing and coding ...
... process through claim review, medical record review and research. To provide expert knowledge in ... care, emergency medicine, surgical, pediatrics, advanced practice nursing, and billing and coding ...
... process through claim review, medical record review and research. * To provide expert knowledge in ... Identifies and reports quality of care issues to the Quality Management Department. * Reports ...
... process through claim review, medical record review and research. * To provide expert knowledge in ... Identifies and reports quality of care issues to the Quality Management Department. * Reports ...
Follow members from admission process all the way through to discharge, find discharge plan and ... IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726
Follow members from admission process all the way through to discharge, find discharge plan and ... IT Life Sciences Allied Healthcare CRO DIRECT # - 732-844-8726
Care Review Clinician, ABA
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Job Summary Provides support for member clinical review processes specific to applied behavioral ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician, ABA
$26.41 - $51.49/hr
Must live in Florida Job Summary Provides support for member clinical review processes specific to ... Works collaboratively with the utilization and care management departments to provide ABA and ...
Care Review Clinician (RN)
$26.41 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
Care Review Clinician (RN)
$26.41 - $51.49/hr
Job Summary Provides support for clinical member services review assessment processes. Responsible ... Contributes to overarching strategy to provide quality and cost-effective member care. Essential ...
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 ...
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 ...
Freelance Care Review Processor information
See salary details
$8.89 - $10.45
6% of jobs
$10.45 - $12
6% of jobs
$13.34 is the 25th percentile. Wages below this are outliers.
$12 - $13.55
14% of jobs
$13.55 - $15.10
19% of jobs
The median wage is $15.49 / hr.
$15.10 - $16.65
15% of jobs
$16.65 - $18.20
13% of jobs
$18.35 is the 75th percentile. Wages above this are outliers.
$18.20 - $19.76
9% of jobs
$19.76 - $21.31
5% of jobs
$21.31 - $22.86
5% of jobs
$22.86 - $24.41
3% of jobs
$24.41 - $25.96
3% of jobs
$8
$16
$25
How much do freelance care review processor jobs pay per hour?
As of Aug 8, 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?
| Aspect | Freelance Care Review Processor | Freelance Medical Claims Reviewer |
|---|---|---|
| Credentials | Typically requires healthcare knowledge, certification in medical coding or review | Requires medical billing/coding certification, healthcare background |
| Work Environment | Remote, flexible hours, project-based | Remote, often part-time or freelance, industry-specific |
| Employer & Industry | Healthcare companies, insurance firms, telehealth services | Insurance companies, healthcare providers, third-party administrators |
| Search & Comparison Intent | Understanding review roles in healthcare, freelance review jobs | Comparing 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.
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:
Molina Healthcare rating
8.0
Based on 198 frontline employees who took The Breakroom Quiz
163rd of 303 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.
What Molina Healthcare employees say
Pay
Benefits
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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