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Insurance Nurse Jobs in Utah (NOW HIRING)

Gadjab

Insurance Verification Specialist

Lehi, UT · Hybrid

$22/hr

Verify patient insurance eligibility and benefits for services provided in skilled nursing ... facilities across multiple states * Conduct frequent outbound and inbound calls with insurance ...

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Insurance Nurse information

See Utah salary details

$21.4K

$53.8K

$88.8K

How much do insurance nurse jobs pay per year?

As of Sep 12, 2026, the average yearly pay for insurance nurse in Utah is $53,798.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,900.00 and $70,600.00 per year, depending on experience, location, and employer.

What is an insurance nurse?

Insurance nurses, also known as insurance nurse consultants or nurse case managers, are registered nurses who work for insurance companies to assess, review, and manage the medical aspects of insurance claims. They evaluate patient records, coordinate care, and ensure that treatments are medically necessary and cost-effective. Their expertise helps insurance companies make decisions about coverage, benefits, and claims while also supporting patients through care management and education. Insurance nurses often communicate with healthcare providers, patients, and claims adjusters to facilitate the claims process.

What are the key skills and qualifications needed to thrive as an insurance nurse?

To thrive as an Insurance Nurse, you need a solid clinical background (often as a Registered Nurse), strong assessment skills, and knowledge of insurance and medical underwriting processes. Familiarity with electronic health record (EHR) systems, medical coding, and claims management software is commonly required. Excellent communication, analytical thinking, and attention to detail are critical soft skills for evaluating medical information and interacting with clients and insurance professionals. These abilities ensure accurate risk assessment, effective case management, and compliance with regulatory standards in the insurance industry.

How does an insurance nurse typically collaborate with underwriters and claims adjusters?

Insurance Nurses play a crucial role in supporting underwriters and claims adjusters by reviewing medical records, evaluating patient histories, and providing expert insights on health-related risks. They frequently communicate their assessments to underwriters to help determine policy eligibility and premiums, and assist claims adjusters by verifying the validity and extent of medical claims. Effective collaboration requires strong communication skills and the ability to translate complex medical information into clear, actionable recommendations, ensuring that both the clinical and administrative aspects of insurance decisions are well-informed.

What is the difference between Insurance Nurse vs Case Manager Nurse?

AspectInsurance NurseCase Manager Nurse
CertificationsRN license, possibly insurance-specific trainingRN license, case management certification often preferred
Work EnvironmentInsurance companies, healthcare insurance departmentsHospitals, clinics, insurance companies, community health
Primary FocusReviewing insurance claims, verifying coverageCoordinating patient care, managing treatment plans

Insurance Nurses primarily focus on reviewing insurance claims and verifying coverage within insurance companies or departments. In contrast, Case Manager Nurses coordinate patient care and develop treatment plans, often working directly with patients and healthcare providers. While both roles require RN licensure, Insurance Nurses typically have specialized training related to insurance processes, whereas Case Manager Nurses often pursue additional case management certifications. Understanding these differences helps clarify career paths and job expectations in the healthcare and insurance industries.

What are the most commonly searched types of Insurance Nurse jobs in Utah?

The most popular types of Insurance Nurse jobs in Utah are:

What are popular job titles related to Insurance Nurse jobs in Utah?

For Insurance Nurse jobs in Utah, the most frequently searched job titles are:

What job categories do people searching Insurance Nurse jobs in Utah look for?

The top searched job categories for Insurance Nurse jobs in Utah are:

Insurance Nurse jobs near you
Infographic showing various Insurance Nurse job openings in Utah as of September 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, 5% Contract, and 1% Nights. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $53,798 per year, or $25.9 per hour.

Insurance Verification Specialist

Lehi, UT • Hybrid

Gadjab
See more jobs at Gadjabexternal

$22/hr

Part-time

Re-posted 6 hours ago

Job description

Gadzoom Health is a growing Medical Directorship Group dedicated to providing exceptional care to patients in skilled nursing facilities. We are committed to delivering high quality services and improving patient health outcomes. Our team consists of skilled professionals who are passionate about making a difference in the lives of others.
We are seeking a part time Insurance Verification Specialist with strong customer service and communication skills to verify patient insurance coverage and benefits for services provided in our partnered communities across multiple states. 
This is a phone intensive position requiring frequent communication with a variety of insurance payers to confirm eligibility, benefits, coverage limitations, and authorization or referral requirements. The Insurance Verification Specialist will accurately document all verification details and ensure insurance information is complete and up to date to help prevent claim denials and reimbursement delays. This position will report to the Director of Revenue Cycle Management and collaborate with insurance payers, SNF partners, practitioners, and internal teams to support clean claims and timely reimbursement. 
This position is a part-time, in office role requiring about 20-25 hours per week, with the potential to transition to a hybrid schedule at the manager’s discretion. Following the initial training period, specific workdays and hours may be discussed with the manager based on department needs and the selected candidate’s availability. 
Key Responsibilities:
  • Verify patient insurance eligibility and benefits for services provided in skilled nursing facilities across multiple states
  • Conduct frequent outbound and inbound calls with insurance payers to confirm coverage, benefit limitations, effective dates, copayments, and coordination of benefits
  • Determine whether prior authorization, referral, or additional documentation is required before services are provided
  • Access and navigate multiple payer portals and verification systems to obtain accurate coverage information
  • Document verification details, reference numbers, payer representatives, and any other relevant information accurately and thoroughly
  • Maintain complete and current patient insurance information
  • Communicate coverage issues, missing information, and authorization requirements to the appropriate team members
  • Assist with resolving insurance discrepancies that could lead to claim denials or reimbursement delays
This is a general overview of the position and not intended to be a comprehensive list. Duties may be added, removed, or modified based on departmental and organizational needs. 
Preferred Qualifications:
  • Previous experience with medical insurance verification, eligibility, or revenue cycle processes
  • Knowledge of Medicare and Medicaid requirements
  • Experience working with insurance plans across multiple states. Familiarity with plans in Utah, Nevada, Texas, and Washington a plus
  • Ability to learn new systems and processes quickly. Advanced MD, Gehrimed, Availity, Noridian, Prism, UHC a plus
  • Independent and able to maintain accuracy while meeting deadlines
  • Ability to navigate multiple payer portals and computer systems efficiently

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