ZipRecruiter

Log In

1

Intern Insurance Utilization Review Jobs in Boca Raton, FL

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... This position collaborates closely with clinical teams, insurance providers, and other healthcare ...

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... This position collaborates closely with clinical teams, insurance providers, and other healthcare ...

ICBD

Utilization Review Specialist

Lauderdale Lakes, FL · On-site

$55K - $70K/yr

Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... This position collaborates closely with clinical teams, insurance providers, and other healthcare ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Oakland Park, FL

Must be familiar with a variety of insurances and funding streams, including commercial insurance ... Utilization Review position, such as: * Challenging and rewarding work environment * Competitive ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Oakland Park, FL · On-site

The Director of Utilization Management is also responsible for ensuring that the utilization review ... Must be familiar with a variety of insurances and funding streams, including commercial insurance ...

Guardian Recovery

UR COORDINATOR

Delray Beach, FL · On-site +1

$60K - $75K/yr

The Utilization Review Coordinator (UR Coordinator) is responsible to perform the process of ... Two years of UR experience in a hospital or healthcare insurance setting required. LICENSURE ...

Guardian Recovery

UR COORDINATOR

Delray Beach, FL · On-site

The Utilization Review Coordinator (UR Coordinator) is responsible to perform the process of ... Two years of UR experience in a hospital or healthcare insurance setting required. LICENSURE ...

Actalent

Appeals Clinical Reviewer

Lauderdale Lakes, FL · On-site

$30 - $40/hr

At least 2 years of utilization management (UM) or utilization review (UR) experience. * At least 2 ... Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term ...

ICBD

Case Review Analyst

Lauderdale Lakes, FL · On-site

Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact ... insurance providers to obtain authorization and resolve any issues related to service utilization ...

ICBD

Case Review Analyst

Fort Lauderdale, FL · On-site

Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact ... insurance providers to obtain authorization and resolve any issues related to service utilization ...

ICBD

Case Review Analyst

Lauderdale Lakes, FL

Case Review Analyst - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site Who We Are Exact ... insurance providers to obtain authorization and resolve any issues related to service utilization ...

Oak St. Health

Grad Pharmacist

Hollywood, FL · On-site

$15.25 - $19/hr

Graduate Pharmacy Intern You've invested a lot of time and energy in your education. Now you want ... quality assurance drug utilization review (DUR), pharmacy professional standards such as ...

Oak St. Health

Grad Pharmacist

Riviera Beach, FL · On-site

$16.25 - $20.25/hr

Graduate Pharmacy Intern You've invested a lot of time and energy in your education. Now you want ... quality assurance drug utilization review (DUR), pharmacy professional standards such as ...

next page

Showing results 1-20

All JobsIntern Insurance Utilization Review JobsIntern Insurance Utilization Review Jobs in Boca Raton, FL

Intern Insurance Utilization Review information

See Boca Raton, FL salary details

$8

$15

$21

How much do intern insurance utilization review jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for intern insurance utilization review in Boca Raton, FL is $15.92, according to ZipRecruiter salary data. Most workers in this role earn between $13.70 and $17.79 per hour, depending on experience, location, and employer.

What are some typical responsibilities for an Intern in Insurance Utilization Review and how do they contribute to the team?

As an Intern in Insurance Utilization Review, you’ll typically assist the team by gathering patient medical records, verifying insurance coverage, and preparing documentation for case reviews. You may also help with the initial assessment of claims or authorizations under the guidance of experienced reviewers. These tasks are essential for ensuring that claims are processed efficiently and in compliance with payer requirements. Interns often collaborate closely with clinical reviewers, case managers, and billing specialists, gaining valuable exposure to healthcare operations and insurance processes.

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 are the key skills and qualifications needed to thrive as an Intern in Insurance Utilization Review, and why are they important?

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.
Intern Insurance Utilization Review jobs near you

Utilization Review Specialist

Recovery Unplugged Florida

Fort Lauderdale, FL • On-site, Remote

$30K - $40K/yr

Other

Posted 5 days ago

New

Job description

Description

Utilization Review Specialist (Part-Time - Weekends) 


Location: Remote

Preferred Residence: Candidates residing in Florida, Tennessee, Texas, Virginia, South Carolina, or New Jersey are strongly encouraged to apply.


Job Details

Job Type: Part-Time

Schedule:

  • 16-24 hours per week
  • Weekend availability required
  • Ideal schedule is Friday through Monday, working 2-3 days within that timeframe
  • Schedule may vary based on business needs
About Recovery Unplugged

Recovery Unplugged is a national leader in drug and alcohol addiction treatment, offering an innovative, evidence-based approach that integrates the healing power of music into recovery. With treatment centers across Florida, Texas, Virginia, New Jersey, South Carolina, and Tennessee, we are committed to delivering compassionate care that helps individuals build lasting recovery.


Position Summary

Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This position plays a critical role in ensuring patients receive the appropriate level of care by obtaining and maintaining insurance authorizations, communicating with managed care organizations, and collaborating with clinical teams throughout the treatment process.

The ideal candidate has prior experience in behavioral health utilization review, understands managed care guidelines, and is comfortable advocating for patients with insurance providers.


Essential Responsibilities
  • Conduct utilization reviews for admissions and continued stays to establish medical necessity and obtain insurance authorizations.
  • Review clinical documentation to support the appropriate level of care and length of stay.
  • Present clinical information to insurance companies and managed care representatives to obtain or extend authorizations.
  • Communicate with insurance case managers regarding benefits, coverage, and authorization status.
  • Collaborate with clinical staff to ensure documentation meets payer requirements.
  • Provide guidance to treatment teams regarding insurance criteria, continued stay requirements, and discharge planning.
  • Maintain accurate, timely, and organized documentation in accordance with company policies and regulatory standards.
  • Work collaboratively with multidisciplinary teams to support quality patient care and reimbursement.
  • Protect patient confidentiality and comply with all HIPAA and organizational policies.
  • Perform other duties as assigned.

Compensation
  • $30,000-$40,000 annually, depending on experience, qualifications, and whether the selected candidate works a 2-day or 3-day weekend schedule.
  • Benefits may be available based on eligibility.

Join a team that's transforming addiction treatment through compassionate, evidence-based care and the healing power of music. If you're passionate about advocating for patients and navigating the utilization review process, we'd love to hear from you.


Recovery Unplugged is an Equal Opportunity Employer.


Requirements

  •  Previous experience in Utilization Review, Managed Care, Behavioral Health, or a related healthcare setting required.
  • Experience working with substance use disorder or behavioral health treatment programs is strongly preferred.
  • Strong knowledge of insurance authorization processes and reimbursement practices.
  • Excellent verbal and written communication skills.
  • Strong organizational skills with the ability to manage multiple cases simultaneously.
  • Proficiency with electronic medical records (EMR) systems and Microsoft Office.
  • Current clinical licensure is preferred but not required. Candidates with significant utilization review experience will be considered.

Apply