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Internship Remote Utilization Review Jobs in Boca Raton, FL

NRG MGMT LLC

Collections Specialist

Lake Worth, FL · On-site +1

$16.50 - $22.25/hr

... utilization review, and insurance verification for substance abuse and mental health treatment ... Work Environment Office or remote work environment, depending on company policy. Fast-paced ...

NationsBenefits

Associate Account Manager

Plantation, FL · On-site +1

$122K - $127K/yr

... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ... Internship experience accepted. * Technical Proficiency: • Proficient in Microsoft Office Suite ...

NationsBenefits, LLC

Associate Account Manager

Plantation, FL · On-site +1

$122K - $127K/yr

... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ... Internship experience accepted. * Technical Proficiency: Proficient in Microsoft Office Suite ...

NationsBenefits, LLC

Account Manager

Plantation, FL · On-site +1

... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ... Internship experience accepted. * Technical Proficiency: Proficient in Microsoft Office Suite ...

NationsBenefits

Account Manager

Plantation, FL · On-site +1

... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ... Internship experience accepted. * Technical Proficiency: • Proficient in Microsoft Office Suite ...

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Showing results 21-40

All JobsUtilization Review JobsInternship Remote Utilization Review JobsInternship Remote Utilization Review Jobs in Boca Raton, FL

Internship Remote Utilization Review information

See Boca Raton, FL salary details

$10

$18

$28

How much do internship remote utilization review jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for internship remote utilization review in Boca Raton, FL is $18.33, according to ZipRecruiter salary data. Most workers in this role earn between $15.29 and $19.86 per hour, depending on experience, location, and employer.

What is a remote utilization review internship?

A Remote Utilization Review Internship is a temporary position, often for students or recent graduates, that allows individuals to work remotely while learning about utilization review processes in healthcare. Interns assist in evaluating medical records, ensuring that healthcare services provided to patients are medically necessary and meet established guidelines. They work under the supervision of licensed professionals, gaining experience in medical documentation, insurance policies, and healthcare regulations. This role is ideal for those interested in healthcare administration, nursing, or case management.

What are the key skills and qualifications needed to thrive as a remote utilization review intern?

To thrive as a Remote Utilization Review Intern, you need a foundational understanding of healthcare processes, medical terminology, and insurance guidelines, often supported by a relevant degree or coursework in nursing, health administration, or a related field. Familiarity with electronic medical record (EMR) systems, utilization review software, and HIPAA compliance is typically required. Strong attention to detail, analytical thinking, and effective written communication are standout soft skills in this role. These abilities are crucial for accurately reviewing patient cases, ensuring regulatory compliance, and supporting efficient healthcare delivery from a remote setting.

What are the main challenges interns face when working remotely in utilization review, and how can they overcome them?

Remote Utilization Review interns often encounter challenges in balancing independent work with effective communication, especially when collaborating with clinical teams or supervisors. Staying organized and proactively reaching out for guidance can help bridge gaps caused by remote settings. Utilizing available digital tools, attending virtual meetings, and participating in team chats fosters connection and learning. Setting a structured daily schedule and seeking regular feedback ensures that interns stay aligned with team goals and develop their review skills efficiently.

What is the difference between Internship Remote Utilization Review vs Utilization Review Specialist?

AspectInternship Remote Utilization ReviewUtilization Review Specialist
CredentialsTypically pursuing or holding relevant certifications (e.g., CCM, RN)Requires active certification and experience in utilization review
Work EnvironmentRemote, internship setting, often part-time or supervisedFull-time, remote or onsite, with more independent responsibilities
Industry UsageEntry-level, training phase within healthcare and insurance sectorsProfessional role with established responsibilities in healthcare management

In summary, an Internship Remote Utilization Review is a training position for individuals gaining experience in utilization review, often with supervision and limited responsibilities. A Utilization Review Specialist is a fully qualified professional responsible for evaluating healthcare services, requiring certifications and more independence in their role.

What are the most commonly searched types of Remote Utilization Review jobs in Boca Raton, FL?

The most popular types of Remote Utilization Review jobs in Boca Raton, FL are:

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For Internship Remote Utilization Review jobs in Boca Raton, FL, the most frequently searched job titles are:

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Internship Remote Utilization Review jobs near you

Certified Coder & Auditing (TEXAS BASED ONLY - MUST RESIDE)

West Palm Beach, FL • Remote

Dane Street, LLC
Insurance Actuarial and Claim Adjusting Services • 51 - 200 employees
Learn more about Dane Street, LLCexternal

$23 - $31.50/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Job description

MUST RESIDE IN TEXAS AND HAVE CODING AND AUDITING EXPERIENCE. Counter Affidavit as well as Testimony experience is preferred.

Requirements

We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support including deposition and testimony services when needed. The ideal candidate must have strong Texas based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Counter Affidavit experience is preferred.

Responsibilities:

• Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS)

• Conduct utilization reviews to determine medical necessity and documentation compliance

• Review and prepare demand packages and audit response materials

• Analyze records for payer disputes and recoupments

• Prepare written audit findings and defensible reports

• Provide expert support for depositions and testimony as needed

• Review E/M services under 2021+ guidelines

• Interpret CMS, LCD/NCD, and payer-specific policies

• Identify risk areas and compliance vulnerabilities

Required Qualifications:

• Active CPC certification through the American Academy of Professional Coders (AAPC)

• CPMA preferred

• Minimum 5 years of professional coding experience

• At least 3 years of Texas-based coding experience required

• Strong knowledge of Texas Medicaid (TMHP) and Texas commercial payer policies

• Prior audit and utilization review experience required

• Experience supporting legal cases, depositions, or expert testimony strongly preferred

• Excellent written documentation and reporting skills

• Ability to work independently and meet deadlines

This position may be part-time depending on the candidate's qualifications. Texas residency is a requirement.

Benefits

Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace. 

ABOUT DANE STREET:

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.