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Overnight Insurance Nurse Reviewer Jobs (NOW HIRING)

Gainwell Technologies

WI · On-site

$78 - $85/hr

Virtual (Exception only) Summary We are seeking a talented individual for a Nurse Reviewer ... insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations ...

New

Zimmerman Associates, Inc.

$24.13/hr

Referral Management (Non-Nurse) Reviewers will facilitate centralized product line and specialty ... Processing/Insurance Referral * U.S. Citizenship required, with the ability to obtain a Public ...

Gainwell Technologies

$78 - $85/hr

Virtual (Exception only) Summary We are seeking a talented individual for a Nurse Reviewer ... insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations ...

New

HMSA

Nurse Reviewer - Clinical Review Unit

Kapolei, HI · On-site

Assists on inquiries from external parties such as the State Insurance Commissioner and from the ... The Nurse Reviewer must follow each line of business' requirements and each accrediting body's (CMS ...

Astiva Health

UM Nurse Reviewer

Orange, CA · On-site

$75K - $95K/yr

The Utilization Management Authorization Review Nurse is responsible for managing inpatient ... Dental Insurance * Health Insurance * Life Insurance * Vision Insurance * Paid Time Off ...

Astiva Health

UM Nurse Reviewer

Orange, CA · On-site

$75K - $95K/yr

The Utilization Management Authorization Review Nurse is responsible for managing inpatient ... Dental Insurance * Health Insurance * Life Insurance * Vision Insurance * Paid Time Off ...

Zimmerman Associates, Inc.

$23.56/hr

Referral Management (Non-Nurse) Reviewers will facilitate centralized product line and specialty ... Processing/Insurance Referral * U.S. Citizenship required, with the ability to obtain a Public ...

Dane Street

PRN Utilization Review Nurse Reviewer

Utilization Management Nurse Reviewers collaborate with healthcare providers, insurance companies, and patients to optimize healthcare delivery, control costs, and maintain quality care. Their ...

Peraton

$66 - $106/hr

Overnight travel may be required. * Telework available from contiguous United States ... as a Registered Nurse or other clinician, and/or experience in review of medical claims for ...

New

Care Navigators On Demand

We currently have an opening for Clinical Nurse Reviewer The Clinical nurse reviewer will ... We offer a generous PTO package, 401k Retirement Savings, Life Insurance, Flexible Spending Account ...

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All JobsInsurance Nurse Reviewer JobsOvernight Insurance Nurse Reviewer Jobs

Overnight Insurance Nurse Reviewer information

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How much do overnight insurance nurse reviewer jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for overnight insurance nurse reviewer in the United States is $30.01, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $40.87 per hour, depending on experience, location, and employer.

What is the difference between Overnight Insurance Nurse Reviewer vs Insurance Claims Nurse?

AspectOvernight Insurance Nurse ReviewerInsurance Claims Nurse
CredentialsRN license, insurance review certificationsRN license, insurance claims processing certifications
Work EnvironmentRemote, reviewing insurance claims overnightOffice or remote, handling claims during regular hours
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, healthcare providers
Search & Comparison IntentRoles involving overnight review of insurance claimsRoles focused on processing insurance claims during business hours

The main difference is that Overnight Insurance Nurse Reviewers primarily work overnight reviewing insurance claims remotely, focusing on detailed assessments. Insurance Claims Nurses typically handle claims during regular hours, often involving more direct communication with clients and providers. Both roles require nursing credentials and insurance knowledge but differ mainly in work hours and specific job functions.

How to become an overnight insurance nurse reviewer?

To become an overnight insurance nurse reviewer, you typically need a valid registered nurse (RN) license and experience in clinical or insurance review settings. Strong assessment, documentation, and communication skills are essential, and familiarity with medical coding and insurance policies can be beneficial. Some positions may require certification in case management or utilization review.

What cities are hiring for Overnight Insurance Nurse Reviewer jobs?

Cities with the most Overnight Insurance Nurse Reviewer job openings:

What are the most commonly searched types of Insurance Nurse Reviewer jobs?

The most popular types of Insurance Nurse Reviewer jobs are:

What states have the most Overnight Insurance Nurse Reviewer jobs?

States with the most job openings for Overnight Insurance Nurse Reviewer jobs include:

Overnight Insurance Nurse Reviewer jobs near you

Nurse Reviewer - Itemized Bill Review

Gainwell Technologies

WI • On-site

$78 - $85/hr

Other

Medical, Life, Retirement, PTO

Posted 2 days ago

New

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 83 frontline employees who took The Breakroom Quiz

138th of 247 rated software companies

Job description

Location: Any city, TX, US, 99999

Work Mode: Virtual (Exception only)

Summary

We are seeking a talented individual for a Nurse Reviewer - Itemized Bill Review role to perform reviews of medical records, healthcare claims, itemized medical bills, and UB‑04 forms to ensure accuracy, compliance, and proper billing practices. This position requires clinical review expertise as well as experience with itemized bill review.

Your role in our mission
  • Review medical claims using the UB‑04 and detailed itemized statements to validate line‑item charges.
  • Verify accuracy of itemized charges in accordance with client policy and industry standards.
  • Perform level‑of‑care and utilization reviews by analyzing medical records and comparing them against criteria to determine appropriateness and reasonableness of care.
  • Apply critical thinking and decision‑making skills to determine whether medical record documentation supports the need for services while meeting production goals and quality standards.
  • Assist management with training new reviewers, including daily monitoring, mentoring, feedback, and education.
  • Maintain current knowledge of clinical criteria guidelines and/or coding guidelines; complete required CEUs to maintain RN licensure.
  • Attend training and scheduled meetings to enhance knowledge of clinical policies, procedures, rules, and regulations.
  • Actively cross‑train to perform reviews of multiple claim types to support a flexible workforce that meets client needs.
What we're looking for
  • Active, unrestricted RN license in the United States and in the primary state of residence; active compact multistate RN license as defined by the Nurse Licensure Compact (NLC) required.
  • 5+ years of clinical experience in an inpatient hospital setting required.
  • 1+ year of itemized bill review experience required.
  • 3+ years of utilization review or claims auditing experience preferred.
  • Experience with CPT, ICD‑10, and HCPCS coding guidelines.
  • Experience using MCG or InterQual criteria preferred.
  • Ability to multitask in a fast‑paced production environment.
What you should expect in this role
  • This is a home‑based position, and you must have a work location within the continental United States.
  • You must provide a high‑speed internet connection and maintain a work environment free from distractions.
  • Ability to work during normal business hours, as this role requires frequent interaction with the team and other departments.
  • May be required to work extended hours for special business needs.
  • May be required to travel at least 10% of the time based on business needs.

This position is for pipeline purposes, and we welcome applications on an ongoing basis.

The pay range for this position is $78,000.00 - $85,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job‑related knowledge, skills, and experience among other factors. All salaried, full‑time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

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What Gainwell Technologies employees say

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Hours and flexibility

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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