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Intern Insurance Utilization Review Jobs in Florida

Responsibilities The Utilization Review Director is responsible for directing and overseeing the ... insurance offering, a physician network and various related services located all over the U.S.

Concurrent Review Nurse

Jacksonville, FL · On-site

$71K - $115K/yr

Utilization Review/Management General Physical Demands * Exerting up to 10 pounds of force ... Income protection benefits: life insurance, short- and long-term disability programs * Leave ...

The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...

The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...

The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...

Showing results 21-40

Intern Insurance Utilization Review information

What is the difference between Intern Insurance Utilization Review vs Insurance Claims Processor?

AspectIntern Insurance Utilization ReviewInsurance Claims Processor
CredentialsTypically pursuing or holding a relevant degree (e.g., health administration, nursing)High school diploma or equivalent; some roles may require insurance or claims processing certifications
Work EnvironmentHealthcare settings, insurance companies, or administrative officesInsurance companies, healthcare providers, or claims processing centers
Primary ResponsibilitiesAssisting in reviewing medical necessity, supporting utilization review processesProcessing and reviewing insurance claims for accuracy and completeness

Intern Insurance Utilization Review focuses on evaluating medical necessity and supporting healthcare decision-making, often involving review of patient records. Insurance Claims Processors handle the administrative task of reviewing and processing insurance claims for payment. While both roles involve insurance and healthcare, utilization review emphasizes clinical assessment, whereas claims processing centers on administrative claim management.

What skills and qualifications are needed to thrive as an intern insurance utilization review?

To thrive as an Intern in Insurance Utilization Review, you typically need a background in healthcare administration or a related field, along with strong analytical and organizational skills. Familiarity with electronic health records (EHRs), insurance databases, and claims processing systems is often required. Attention to detail, effective communication, and the ability to collaborate with both clinical and administrative teams are essential soft skills. These competencies ensure accurate review of insurance claims, compliance with regulations, and efficient coordination between healthcare providers and insurers.

What does an intern insurance utilization review do?

An Intern Insurance Utilization Review assists with evaluating medical records and insurance claims to ensure that healthcare services are medically necessary and covered by insurance policies. They work under supervision to review documentation, communicate with healthcare providers, and help determine if treatments meet established guidelines. This role provides valuable exposure to the insurance and healthcare industries, helping interns learn about claims processing, policy compliance, and the importance of cost-effective care.
What cities in Florida are hiring for Intern Insurance Utilization Review jobs? Cities in Florida with the most Intern Insurance Utilization Review job openings:

PT UTILIZATION REVIEW COORDINATOR

UHS

Jacksonville, FL • On-site

Part-time

Retirement

Posted 26 days ago


Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

491st of 887 rated healthcare providers


Job description

Responsibilities
We are pleased to announce the following available position: PT Utilization Review Coordinator, including weekends $26-$37
This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizations to ensure quality patient care and collaborating with referring professionals for continuity of care. Complete concurrent reviews for mental health and dual diagnosis patients for both inpatient and outpatient services. Complete appeals and follow up on all appeals until a final decision is determined. Must have effective communication skills with treatment team members, physician's and co-workers throughout the hospital.
Qualifications
Registered Nurse, LPN or Master's level Social Worker with experience in Utilization Management, preferred. Good communication (verbal and written) skills are essential. Able to work independently and collegially with all clinical disciplines. Has knowledge of regulatory and reimbursement requirements. Able to monitor and evaluate records for quality and appropriateness of care. Has basic computer skills.
We offer:
  • Challenging and rewarding work environment
  • Competitive Compensation
  • 401(K) with company match and discounted stock plan
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • SoFi Student Loan Refinancing Program
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com
Universal Health Services, Inc. , one of the nation's largest and most respected providers of hospital and healthcare services, has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies by Fortune. Headquartered in King of Prussia, PA, UHS has more than 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral facilities, outpatient facilities and ambulatory care access points, and insurance offering, a physician network and various related services located all over the United States, Washington, DC, Puerto Ricco and the United Kingdom. www.uhs.com
River Point Behavioral Health , a subsidiary of UHS , is a beautiful, 80-bed adolescent and adult Baker Act receiving facility, which is located in sunny Jacksonville, Florida. Our professional staff provide high quality, individualized care to uniquely fit the intensity and severity of each patient's needs and offer a continuum of mental health and addiction services in a confidential, caring environment that promote crisis resolution, positive self- awareness, personal growth and problem-solving. River Point is open 24 hours a day, seven days a week.
For more information about River Point Behavioral Health, please visit our website at www.riverpointbehavioral.com
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS all our subsidiaries, our Human Resources departments and recruiters are here to help perspective candidates by matching skill sets and experience with the best possible career path at UHS and subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information ( e.g. social security number, credit card, or bank information etc., from you via email) Our recruiters will not email you from public webmail like Hotmail, Gmail, Yahoo mail etc.
If you suspect a fraudulent job posting or related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Care Provider Background Screening Clearinghouse Education and Awareness website: https://info.flclearinghouse.com

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US