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Intern Insurance Utilization Review Jobs (NOW HIRING)

... insurance companies/authorizing entities to ensure initial precertification and continued ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN ...

Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.

New

Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... That mission drives everything we do, from accepting every patient, regardless of insurance status ...

New

Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.

New

Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.

New

Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... That mission drives everything we do, from accepting every patient, regardless of insurance status ...

New

The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ... Company Paid Life Insurance and Disability and more! We are an Equal Opportunity Employer!

Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.

New

... insurance companies/authorizing entities to ensure initial precertification and continued ... utilization review. CERTIFICATIONS, LICENSES, REGISTRATION LMHC, LAPC, LPC, LMSW, LCSW, LPN or RN ...

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI ...

Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.

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Intern Insurance Utilization Review information

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

As of Jul 20, 2026, the average hourly pay for intern insurance utilization review in the United States is $16.77, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $18.75 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.
What cities are hiring for Intern Insurance Utilization Review jobs? Cities with the most Intern Insurance Utilization Review job openings:
What are the most commonly searched types of Insurance Utilization Review jobs? The most popular types of Insurance Utilization Review jobs are:
What states have the most Intern Insurance Utilization Review jobs? States with the most job openings for Intern Insurance Utilization Review jobs include:
Utilization Review Coordinator

$32.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

New


Job description

Are you passionate about making a difference in the lives of others?

Since 1938 we have grown to over 70 programs, providing assistance to individuals and families throughout the Diocese of Paterson and beyond - we provide help and create hope for thousands of people each day. Our ability to deliver support, education, sustenance and so much more to those in need is extensive. Through Catholic Family and Community Services, the Department for Persons with Disabilities and Straight and Narrow we offer life-changing resources in multiple facets for the families and individuals we serve. We truly have a rich history of providing essential services to our communities.

TITLE: Utilization Review (UR) Coordinator

Location: Parsippany NJ

Hours: Full Time (Monday through Friday: 8:30am – 4:30pm)

This is an hourly non-exempt position.

Salary: Up to $32.80 (with experience)

Job Summary

The Utilization Review Coordinator is responsible for securing and maintaining payer authorizations for behavioral health services, ensuring medical necessity, appropriate level of care placement, and reimbursement optimization. This role serves as the liaison between clinical teams, admissions, and insurance payers to support continuity of care and financial sustainability.

Qualifications

  • Bachelor’s degree required, master’s preferred
  • 2–5+ years in behavioral health, substance use treatment, or utilization review
  • Experience with insurance authorization processes and medical/clinical necessity criteria
  • Familiarity with ASAM criteria strongly preferred
  • Strong clinical documentation review skills
  • Knowledge of payer systems (State Contracts, FFS Initiatives, Medicaid, MCO, Third Party)
  • Excellent communication and negotiation skills
  • Detail-oriented with strong organizational abilities
  • Ability to manage multiple cases and deadlines

Benefits: For full time positions, (30+ per week) we offer:

  • We provide PAID training
  • Medical/vision and dental
  • Life insurance (agency-paid), supplemental life insurance (employee-paid)
  • Flexible spending accounts
  • Accidental/Critical Illness Insurance
  • 403B (with company-matching)
  • Generous paid time off

All offers of employment are contingent on the successful completion/passing of our criminal background/references/DMV check, fingerprinting, pre-employment physical and drug test, etc.