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Insurance Utilization Reviewer Jobs in Phoenix, AZ

Aldridge Pite LLP

Title Reviewer

Mesa, AZ · On-site

Aldridge Pite, LLP is a multi-state law firm that focuses heavily on the utilization of technology ... Company Paid Life and Disability Insurance plans * Medical, Dental and Vision Plans with ...

Tango Care

Physician Reviewer (Remote)

Phoenix, AZ · On-site +1

The Physician Reviewer is in a utilization management reviewer role at tango - providing UM case ... Course work in the areas of Health Administration, Health Financing and Insurance is helpful.

Healthcare Support Staffing

Clinical Pharmacist

Tempe, AZ · On-site

$113K - $135K/yr

Oversee the drug utilization review and medication therapy management programs for specialty ... Knowledge in Insurance experience (Medicare, Medicaid, commercial) * Computer skills are a MUST (MS ...

UHS

DISCHARGE PLANNER

Phoenix, AZ · On-site

PRN Varies The Discharge Planner works with the Utilization Review department on certification and recertification of insurance benefits throughout the patient's stay, and assists the treatment team ...

HonorHealth

RN Case Manager Shea

Scottsdale, AZ · On-site

... insurance company guidelines. Advocates for patients/families and liaisons with key team member to ... utilization review documents according to hospital policy and state/ federal regulations.

Rsghealthcare

Nurse Practitioner

Phoenix, AZ · On-site

$90 - $120/hr

Engage in utilization review/prior authorization processes to ensure appropriate patient care and ... Dental insurance * Health insurance * Life insurance * Paid time off * Sick Time off * Vision ...

ADP - RNOOID0027504373

Licensed Therapist

Tempe, AZ · On-site

$55K - $70K/yr

... billing department for utilization review. Essential Functions and Duties Include: Duties ... Health insurance * Life insurance * Paid time off * Vision insurance Schedule: * 8 hour shift ...

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All JobsInsurance Utilization Reviewer JobsInsurance Utilization Reviewer Jobs in Phoenix, AZ

Insurance Utilization Reviewer information

See Phoenix, AZ salary details

$30.8K

$37.7K

$43.7K

How much do insurance utilization reviewer jobs pay per year?

As of Sep 6, 2026, the average yearly pay for insurance utilization reviewer in Phoenix, AZ is $37,723.00, according to ZipRecruiter salary data. Most workers in this role earn between $33,800.00 and $41,700.00 per year, depending on experience, location, and employer.

What is an insurance utilization reviewer?

Insurance Utilization Reviewers are professionals who evaluate healthcare services to determine if they are medically necessary and covered by insurance policies. They review patient records, treatment plans, and insurance guidelines to ensure that the care provided aligns with established criteria and standards. Their work helps control healthcare costs, prevent unnecessary treatments, and ensure patients receive appropriate care. Utilization reviewers often communicate with healthcare providers and insurance companies to support or deny coverage decisions.

What are the key skills and qualifications needed to thrive as an insurance utilization reviewer, and why are they important?

To thrive as an Insurance Utilization Reviewer, you need a solid understanding of medical terminology, healthcare regulations, and insurance processes, usually supported by a clinical background or relevant certification. Familiarity with utilization review software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is often required. Strong analytical thinking, attention to detail, and effective communication skills help reviewers assess medical necessity and coordinate with healthcare providers. These skills ensure accurate, efficient case evaluations and compliance with policies, which are crucial for optimizing patient care and managing healthcare costs.

What are some common challenges faced by insurance utilization reviewers, and how can they be addressed?

One of the primary challenges Insurance Utilization Reviewers face is balancing the need to adhere to strict insurance guidelines while advocating for appropriate patient care. Reviewers often handle high caseloads and must make timely decisions based on complex medical records, which requires strong attention to detail and up-to-date knowledge of coverage policies. Effective communication with healthcare providers and insurance representatives is also crucial to resolve discrepancies and ensure approvals. Staying organized, continuously updating clinical knowledge, and leveraging support from the utilization review team can help manage these challenges successfully.

What is the difference between Insurance Utilization Reviewer vs Insurance Claims Processor?

AspectInsurance Utilization ReviewerInsurance Claims Processor
Primary RoleReview medical necessity and appropriateness of services for insurance coverageProcess and review insurance claims for payment and accuracy
Required CredentialsOften requires healthcare or insurance certifications, such as RHIT or CPCTypically requires claims processing or insurance certifications, like CPC or CPC-H
Work EnvironmentHealthcare settings, insurance companies, or third-party administratorsInsurance companies, healthcare providers, or claims processing centers
Industry UsageCommonly employed in health insurance and managed careWidely used across health, auto, and property insurance sectors

The main difference is that Insurance Utilization Reviewers focus on evaluating the medical necessity of services, while Insurance Claims Processors handle the administrative processing of claims. Both roles require insurance-related certifications and are integral to the insurance industry, but they serve distinct functions in the claims and coverage review process.

What are popular job titles related to Insurance Utilization Reviewer jobs in Phoenix, AZ?

For Insurance Utilization Reviewer jobs in Phoenix, AZ, the most frequently searched job titles are:

What job categories do people searching Insurance Utilization Reviewer jobs in Phoenix, AZ look for?

The top searched job categories for Insurance Utilization Reviewer jobs in Phoenix, AZ are:

Insurance Utilization Reviewer jobs near you

Title Reviewer

Aldridge Pite LLP

Mesa, AZ • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Job description

Remote Work from Home!


Aldridge Pite, LLP is a multi-state law firm that focuses heavily on the utilization of technology to create work flow synergies with its clients and business partners. Aldridge Pite is a full-service provider of legal services to depository and non-depository financial institutions including banks, credit unions, mortgage servicing concerns, institutional investors, private firms, and other commercial clients. Aldridge Pite is dedicated to providing best-in-class representation across all of its Practice Areas through its unwavering subscription to three fundamental tenets: Partnership, Integrity, and Innovation.  

Purpose

Aldridge Pite, LLP is seeking a Title Reviewer. The Title Reviewer is responsible for reviewing the chain of title and ensuring the firm is clear to proceed with foreclosure.

Specific Duties & Responsibilities

  1. Reviewing the chain of title
  2. Identifying potential title issues
  3. Reviewing and auditing loan origination documents
  4. Communicate with clients/vendors/borrowers
  5. Update and monitor clients systems
  6. Update internal Case Management System
  7. Assist with other duties and special projects as needed

Basic Requirements

  1. High School Diploma required
  2. Prior Title or Foreclosure experience preferred
  3. Must be organized and multi-task oriented
  4. Possess good organizational skills and attention to detail
  5. Ability to identify and resolve issues in a timely manner
  6. Must be proficient in software tools including but not limited to Word, Excel, Outlook and the Internet
  7. Overall positive attitude and willingness to adapt to change
  8. Team player and willing to provide assistance in multiple areas whenever is necessary

General Competencies

  • Demonstrates strong written and verbal communication skills.
  • Effectively communicates with all clients (via Client Systems, e-mail and phone).
  • Provides exceptional customer service to internal and external customers.
  • Identifies and resolves problems in a timely manner.
  • Conscientious with respect to work completion, deadlines, time management and attendance.
  • Takes initiative in face of obstacles and identifies what needs to be done and takes action.
  • Demonstrates commitment to Firm’s vision, mission, and core values.
  • Processes work in compliance with Client requirements as well as SOPs and Operations Matrices.
  • Analytical and detail oriented, while working at a fast pace and capable of multi-tasking.
  • Excellent problem solving and organizational skills.
  • Must be a team player and willing to help others in their department whenever necessary.
  • Develops professional relationships and builds rapport with others.
  • Overall good work ethic and willingness to adapt to change.

In addition to remote work for most positions, we offer a comprehensive benefit program including:   


  • Company Paid Life and Disability Insurance plans  
  • Medical, Dental and Vision Plans with Prescription coverage 
  • 401K Retirement Savings Plan 
  • Flexible scheduling (within reason, depending on position) 
  • Generous PTO plan for all full-time employees 
  • Full equipment station at no cost for remote employees, including dual monitors 
  • Employee Assistance Plan, offering free 24/7 counseling and consulting services to support emotional health and wellbeing 
  • Wellness programs and employee discounts 
  • Learning and development training opportunities for both personal and professional growth 
  • And so much more! 

Aldridge Pite, LLP is fully committed to Equal Employment Opportunity and to attracting, retaining, developing and promoting the most qualified employees without regard to race, gender, color, religion, sexual orientation, national origin, age, physical or mental disability, citizenship status, veteran status, or any other characteristic prohibited by federal, state or local law. We are dedicated to providing a work environment free from discrimination and harassment, and where employees are treated with respect and dignity.  

Job Details
Pay TypeHourly