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Insurance Claim Review Rehab Jobs (NOW HIRING)

CorroHealth

Claim Review Specialist

$18.50 - $24.50/hr

JOB SUMMARY: Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using ...

UnitedHealth Group

Clinical Claim Review RN

Plymouth, MN · Remote

$29 - $52/hr

The Clinical Claim Review Nurse performs claim reviews to verify correct coding and correct charges ... Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability ...

UnitedHealth Group

Clinical Claim Review RN

Plymouth, MN · On-site

$29 - $52/hr

The Clinical Claim Review Nurse performs claim reviews to verify correct coding and correct charges ... Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability ...

twoharbors

Insurance Claim Specialist

Fort Mill, SC · On-site

Responsible for reviewing a pipeline of Insurance Claims to ensure a positive borrower experience while ensuring compliance with any agency and/or investor guidelines * Process Insurance Claim ...

CoAction

Claims Quality Audit Analyst

Morristown, NJ · On-site

... what insurance can be for our clients. The Claim Quality Audit Analyst, is responsible for overseeing claim quality reviews, calibration of manager reviews, compliance monitoring, and training ...

Risk Strategies

Healthcare Lead Claims Specialist

$110K - $150K/yr

To provide ultimate claim service for insurance claim matters presented by clients of Risk ... Review claim trending and address any opportunities with the Client for Loss control initiatives.

Village Capital & Investment

VA Claim Processor

Hildale, UT · On-site

$13.75 - $17.50/hr

Review and process claims in accordance with VA guideline, ensuring that all information is ... Dental insurance * Health insurance * Health savings account * Life insurance * Paid time off

Village Capital & Investment

VA Claim Processor

Hildale, UT · On-site

$13.75 - $17.50/hr

Review and process claims in accordance with VA guideline, ensuring that all information is ... Dental insurance * Health insurance * Health savings account * Life insurance * Paid time off

Village Capital & Investment

VA Claim Processor

Hildale, UT · On-site

$13.75 - $17.50/hr

Review and process claims in accordance with VA guideline, ensuring that all information is ... Dental insurance * Health insurance * Health savings account * Life insurance * Paid time off

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Insurance Claim Review Rehab information

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How much do insurance claim review rehab jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for insurance claim review rehab in the United States is $21.86, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $25.72 per hour, depending on experience, location, and employer.

What is the highest paid insurance adjuster?

The highest paid insurance adjusters are often senior or specialized professionals, such as claims managers or catastrophe adjusters, earning salaries that can exceed $100,000 annually. Factors influencing pay include experience, certifications, and the complexity of claims handled, with some adjusters earning bonuses or commissions based on performance.

What is the difference between Insurance Claim Review Rehab vs Insurance Adjuster?

AspectInsurance Claim Review RehabInsurance Adjuster
CredentialsCertifications in claims review, rehabilitation, or related fieldsAdjuster licenses, certifications like AIC or CPCU
Work EnvironmentOffice-based, claims review centers, remote optionsFieldwork, office settings, client interactions
Employer & IndustryInsurance companies, third-party claims servicesInsurance carriers, independent agencies
Primary FocusReviewing and rehabilitating insurance claims for proper settlementAssessing damages, negotiating claims, settling policies

Insurance Claim Review Rehab specialists focus on evaluating and rehabilitating insurance claims to ensure proper resolution, often working behind the scenes. In contrast, Insurance Adjusters handle on-site assessments and direct negotiations with claimants. Both roles require industry-specific knowledge and certifications, but their daily tasks and work environments differ significantly.

What are the key skills and qualifications needed to thrive as an Insurance Claim Review Rehab Specialist, and why are they important?

To thrive as an Insurance Claim Review Rehab Specialist, you need a solid understanding of medical terminology, rehabilitation procedures, and insurance policies, typically supported by a background in healthcare or claims processing. Familiarity with claims management software, electronic health records, and relevant certifications such as Certified Professional Coder (CPC) is often required. Attention to detail, analytical thinking, and effective communication are essential soft skills for reviewing complex documentation and collaborating with providers. These skills ensure accurate claim assessments, minimize errors, and promote fair and efficient processing within the insurance industry.

What jobs pay 2000 a day?

Jobs that can pay $2,000 a day typically include high-level roles such as specialized medical professionals, senior corporate executives, or experienced consultants. Certain freelance or contract positions in fields like software development, legal consulting, or financial advising may also reach this level with significant experience and expertise.

How does an Insurance Claim Review Rehab professional typically collaborate with other departments to ensure accurate claim processing?

As an Insurance Claim Review Rehab professional, you will frequently collaborate with medical providers, adjusters, and case managers to gather necessary documentation and clarify treatment details. Effective communication with these teams is crucial to evaluate the medical necessity and appropriateness of rehabilitation services claimed. You'll also work closely with compliance and billing departments to ensure claims meet regulatory and payer guidelines, helping to minimize errors and delays in claim resolution. This cross-functional teamwork is vital for accurate, timely claim adjudication and maintaining high service standards.

What is the highest paying insurance agent job?

In the insurance industry, roles such as senior insurance agents, agency owners, or specialized sales agents tend to have the highest earning potential. Compensation often includes commissions, bonuses, and profit sharing, with top earners making six figures or more annually depending on experience, location, and sales volume.

What does a claims reviewer do?

A claims reviewer in insurance evaluates insurance claims to determine their validity and appropriate payout based on policy coverage and documentation. They analyze claim details, review supporting evidence, and ensure compliance with company policies, often using specialized software and adhering to industry regulations.

What does an Insurance Claim Review Rehab specialist do?

An Insurance Claim Review Rehab specialist evaluates rehabilitation-related insurance claims to determine their validity and ensure compliance with policy terms. They review medical records, treatment plans, and billing details to confirm that rehabilitation services are necessary and covered under the claimant’s insurance plan. These specialists may communicate with healthcare providers, policyholders, and claims adjusters to gather information and resolve discrepancies. Their goal is to ensure that claims are processed accurately and efficiently, preventing fraud and minimizing costs for insurers.
Infographic showing various Insurance Claim Review Rehab job openings in the United States as of June 2026, with employment types broken down into 11% As Needed, 22% Full Time, 56% Part Time, and 11% Contract. Highlights an 100% Physical job distribution, with an average salary of $45,459 per year, or $21.9 per hour.
Claim Review Specialist

Claim Review Specialist

CorroHealth

Remote

$18.50 - $24.50/hr

Full-time

Posted 16 days ago

CorroHealth rating

8.1

Company rating: 8.1 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

85th of 428 rated business services

Job description

About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product. Use software to develop standardized reports, meet with clients, respond to coding questions in clear, concise, grammatically correct English, and provide support for other members of the revenue cycle consulting team. Client education, written FAQ answer preparation, and other duties as assigned.
This is a remote position
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
Reports To: Director of HIM/Audit Services (RCM Services)
Location: Remote USA; work from home office
FLSA Status: Full time, exempt
Summary: Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product. Use software to develop standardized reports, meet with clients, respond to coding questions in clear, concise, grammatically correct English, and provide support for other members of the revenue cycle consulting team. Client education, written FAQ answer preparation, and other duties as assigned.
QUALIFICATIONS
  • 5+ years of current directly related experience
  • Expert knowledge in revenue cycle and Outpatient coding (ER, SDS, OBS, ancillary, IR, Profee, E/M facility, I&I)
  • CCS, COC or CPC certification required
  • Medical Terminology and anatomy knowledge is required
  • Clinical Documentation and Inpatient coding experience is preferred. New hires will be expected to learn IP during employment.
  • Must have strong understanding of revenue cycle, CMS Manual/guidelines, Medicaid guidelines.
  • Strong Microsoft Excel, PowerPoint, Word and OneNote skills
  • Must have strong understanding of the Official Coding Guidelines, OP coding and billing (i.e. including but not limited to knowledge of rev codes, HCPCS, MUE and CCI edits, UoS and ICD-10 CM)
  • Strong analytical capability, independent thinker and good decision-making skills
  • Excellent written and verbal communication and presentation skills
  • Strong computer and technology knowledge and skills
  • Highly professional demeanor, great client satisfaction skills

ESSENTIAL DUTIES AND RESPONSIBILITIES
  • Become proficient in the use of the PARA Data Editor, our proprietary software;
  • Select and review claims for review based on trends/data analysis in the PARA Data Editor; organize information and access to medical documentation.
  • Audit all aspects of claim including (but not limited to):

-Omitted or incorrect charges,
-Review OPPS and CAH charges and apply guidelines.
-CMS/Payer specific guidelines
-Coding accuracy for ICD-10 CM, CPT/HCPCS (including but not
limited to 10000-69999, 80000, 90000, J codes, G codes, Q codes,etc)
-Departmental review for inaccuracies, omitted data/documentation
and charges
-NCCI edits, MUE edits, Medi-cal and Medicare guidelines/CMS
Manual guidance,
-Units of services
-E/M Profee/Facility
-Units of services
-Documentation improvement.
  • Assist in preparing written documents for publication under the direction of the Director, HIM, i.e., Q&A entries.
  • Develop a working understanding of the outpatient hospital reimbursement process, including documentation, coding, and billing.
  • Participate in presentations to clients and prospective clients, typically over web meetings.
  • Develop and maintain the skills and knowledge necessary related to the assigned specialty areas and the related services. Keep current on all related information from journals and bulletins. Distribute and pass on all necessary materials, including copying for reference files when relevant.
  • Maintain current certifications and accreditations (as applicable).
  • Research new guidelines, data elements, payer specifications, etc.
  • Other duties may be assigned as necessary.

This is a remote position
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

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