Davenport, IA · On-site
... insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer ... They will evaluate certification requests by reviewing the group specific requirements and will ...
Davenport, IA · On-site
... insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer ... They will evaluate certification requests by reviewing the group specific requirements and will ...
Dubuque, IA · On-site
... insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer ... They will evaluate certification requests by reviewing the group specific requirements and will ...
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Dubuque, IA · On-site
... insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer ... They will evaluate certification requests by reviewing the group specific requirements and will ...
Dubuque, IA · On-site
... insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer ... They will evaluate certification requests by reviewing the group specific requirements and will ...
Dubuque, IA · On-site
... insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer ... They will evaluate certification requests by reviewing the group specific requirements and will ...
Dubuque, IA · On-site
... insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer ... They will evaluate certification requests by reviewing the group specific requirements and will ...
Dubuque, IA · On-site
... insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer ... They will evaluate certification requests by reviewing the group specific requirements and will ...
Dubuque, IA · On-site
... insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer ... They will evaluate certification requests by reviewing the group specific requirements and will ...
Dubuque, IA · On-site
... insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer ... They will evaluate certification requests by reviewing the group specific requirements and will ...
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Des Moines, IA · On-site
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
New
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
New
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
Knowledge of insurance eligibility, CMS rules, and utilization review processes across the continuum of care. * Strong clinical judgment, communication, and independent decision-making skills.
$20.09 - $24.16
2% of jobs
$24.16 - $28.22
9% of jobs
$31 is the 25th percentile. Wages below this are outliers.
$28.22 - $32.29
21% of jobs
The median wage is $35.58 / hr.
$32.29 - $36.35
23% of jobs
$36.35 - $40.42
13% of jobs
$43.58 is the 75th percentile. Wages above this are outliers.
$40.42 - $44.48
10% of jobs
$44.48 - $48.54
8% of jobs
$48.54 - $52.61
5% of jobs
$52.61 - $56.67
5% of jobs
$56.67 - $60.74
2% of jobs
$60.74 - $64.80
2% of jobs
$20
$39
$64
One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.
To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.
An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.
The most popular types of Insurance Utilization Review jobs in Iowa are:
For Insurance Utilization Review jobs in Iowa, the most frequently searched job titles are:
The top searched job categories for Insurance Utilization Review jobs in Iowa are:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 16 days ago
8.6
Based on 15 frontline employees who took The Breakroom Quiz
90th of 308 rated insurance
Get the full story on Breakroom
