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From Home Care Review Processor Jobs (NOW HIRING)

Patriot Home Care

Home Care Administrator

Wilmington, DE · On-site

Review assessment reports for all departments and implement opportunities for process improvements ... Reviewing the Enterprise Incident Management reports and incidents from the prior week. * Review ...

Home Care Evolution

Home Care

Philadelphia, PA · On-site

Careers Advancement We are looking for a Home Care Aide to join our team! You will be directly ... To assist the client to and from doctor's appointments * Maintain records of patient care ...

Home Care Evolution

Home Care Aide

Glendora, CA · On-site

$18 - $22/hr

Home Care Aide (HCA) registration -if not already registered, we'll assist with the process * At ... from medical procedures. Our care philosophy is based on finding interesting, innovative ways to ...

Home Care Evolution

Home Care Aide

Glendora, CA · On-site

$18 - $22/hr

... with the process Why You'll Love Us: Homewatch CareGivers supports a holistic and person-direct ... from medical procedures. Our care philosophy is based on finding interesting, innovative ways to ...

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How much do from home care review processor jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for from home 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.

How to make $80,000 a year working from home?

A From Home Care Review Processor can increase earnings by gaining experience, improving efficiency, and handling higher volumes of work, which may lead to higher pay or bonuses. Developing skills in data analysis, customer service, and using relevant software can also enhance earning potential, but reaching $80,000 annually typically requires advanced experience or additional responsibilities within the role.

What jobs pay $4000 a week without a degree?

A From Home Care Review Processor typically does not earn $4000 weekly; such high earnings usually require specialized skills, experience, or management roles. Jobs that can pay this amount without a degree often include sales, real estate, or certain entrepreneurial ventures, but they generally depend on commissions, performance, or business success. Most high-paying remote jobs without a degree involve sales, consulting, or skilled trades with significant experience or certifications.

What is a care review processor?

A care review processor is a professional responsible for evaluating and processing care plans, patient records, or service reviews in healthcare or home care settings. They ensure compliance with regulations, verify information accuracy, and may use specialized software to document and update care-related data.

How can I make 2000 a week working from home?

A From Home Care Review Processor can increase earnings by handling a high volume of reviews efficiently, often requiring strong attention to detail and good organizational skills. Earning $2000 weekly typically involves working full-time hours, possibly earning per review or through performance bonuses, and developing expertise in review processing tools and procedures.
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From Home Care Review Processor jobs near you
Infographic showing various From Home Care Review Processor job openings in the United States as of July 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution, with an average salary of $34,822 per year, or $16.7 per hour.

Care Review Processor I

Integrated Resources INC

Columbus, OH

Contractor

Re-posted 3 days ago

Job description

Company Description

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Job Description

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 authorization requests for members.

Heavy data entry and making phone calls out to doctors, hospitals, etc.

Medical background, prior authorization experience.

A minimum of 1-2 years' experience.

Knowledge of ICD 10 codes or CPT codes

Computer literate

Strong customer service skills with pleasant phone voice

Microsoft Excel (beginner level)

Works within the Care Access and Monitoring (CAM) team to provide clerical and data entry support for Members that require hospitalization and/or utilization 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 Health Care Services staff to ensure the delivery of high quality, cost-effective healthcare services according to State and Federal requirements to achieve optimal outcomes for Members.

Essential Functions:

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 operational timeframes.

Participates in interdepartmental integration and collaboration to enhance the continuity of care for members including Behavioural 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). Participate in Care Access and Monitoring meetings as an active member of the team.

Meet attendance guidelines per Healthcare policy.

Follow standards of conduct guidelines as described in Healthcare HR policy.

Comply with required workplace safety standards.

Knowledge/Skills/Abilities:

Demonstrated ability to communicate, problem solve, and work effectively with people.

Working knowledge of medical terminology and abbreviations.

Ability to think analytically and to problem solve.

Good communication and interpersonal/team skills.

Must have a high regard for confidential information.

Ability to work in a fast paced environment.

Able to work independently and as part of a team.

Computer skills and experienced user of Microsoft Office software.

Accurate data entry at 40 WPM minimum.

Required Education:

High School Diploma/GED Required

Experience: 0-2 years of experience in a Utilization Review Department in a Managed Care Environment. Previous Hospital or Healthcare clerical, audit or billing experience.

Qualifications

High School Diploma/GED Required

Additional Information

Kind Regards

Sumit Agarwal

732-902-2125

Integrated Resources logo

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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