ZipRecruiter

Log In

2

Part Time Insurance Nurse Reviewer Jobs (NOW HIRING)

Gadjab

Insurance Verification Specialist

Lehi, UT · Hybrid

$22/hr

... nursing facilities. We are committed to delivering high quality services and improving patient ... We are seeking a part time Insurance Verification Specialist with strong customer service and ...

Douglas Services LLC

LPN Supervisory Visit Nurse

Suwanee, GA · On-site

$24 - $32.50/hr

Position Type: Part-time, PRN, or Contract Setting: Client homes and community-based settings Reports To: RN Supervisor / RN Reviewer and Agency Administrator Why Join Douglas Services LLC? At ...

Medix

Clinical Reviewer

Phoenix, AZ · On-site

$150/hr

Review escalated cases and render a final determination (agree/disagree with denial). * Assess ... Term Life Insurance Plan. * We will consider for employment all qualified Applicants, including ...

next page

Showing results 1-20

All Jobspart time JobsPart Time Insurance Nurse Reviewer Jobs

Part Time Insurance Nurse Reviewer information

See salary details

$28

$37

$42

How much do part time insurance nurse reviewer jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for part time insurance nurse reviewer in the United States is $37.04, according to ZipRecruiter salary data. Most workers in this role earn between $34.13 and $41.35 per hour, depending on experience, location, and employer.

What is a part time insurance nurse reviewer?

Part-time insurance nurse reviewers are registered nurses who work with insurance companies to review medical records, claims, and treatment plans, often on a flexible or reduced-hour schedule. Their primary role is to ensure that the care provided meets established guidelines and is medically necessary according to the insurer's policies. These nurses use their clinical expertise to assess documentation and help determine the appropriateness of claims, frequently working remotely or in office settings. By working part time, they often balance this role with other professional or personal commitments.

What skills and qualifications are needed to thrive as a part time insurance nurse reviewer?

To thrive as a Part Time Insurance Nurse Reviewer, you need a nursing degree, active RN licensure, and strong knowledge of medical terminology and healthcare guidelines. Familiarity with utilization review software, electronic medical records, and insurance coding systems like ICD-10 and CPT is typically required. Attention to detail, analytical thinking, and effective written communication help set top performers apart in this role. These skills and qualities ensure accurate case assessments, compliance with regulations, and clear justification for insurance coverage decisions.

What are common challenges faced by part time insurance nurse reviewers, and how can they be managed?

Part Time Insurance Nurse Reviewers often face challenges such as managing a high volume of case reviews within tight deadlines and staying updated on changing insurance policies and medical guidelines. Balancing accuracy with efficiency is crucial, as the role requires careful attention to detail when evaluating medical records and making coverage determinations. Effective time management, ongoing professional development, and strong communication skills are key to overcoming these challenges and maintaining high-quality work while collaborating with claims adjusters, physicians, and other team members.

What is the difference between Part Time Insurance Nurse Reviewer vs Part Time Insurance Claims Processor?

AspectPart Time Insurance Nurse ReviewerPart Time Insurance Claims Processor
Required CredentialsRN license, insurance knowledgeBasic insurance knowledge, data entry skills
Work EnvironmentRemote or office-based, healthcare settingRemote or office-based, administrative setting
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, third-party administrators
Common Search & ComparisonYesNo

The Part Time Insurance Nurse Reviewer primarily evaluates insurance claims from a healthcare perspective, requiring nursing credentials and clinical knowledge. In contrast, the Part Time Insurance Claims Processor handles administrative tasks like data entry and claim processing, often with less clinical background. Both roles are common in insurance companies and may be performed remotely, but they differ significantly in responsibilities and required qualifications.

What cities are hiring for Part Time Insurance Nurse Reviewer jobs?

Cities with the most Part Time 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 Part Time Insurance Nurse Reviewer jobs?

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

Part Time Insurance Nurse Reviewer jobs near you

Insurance Verification Specialist

Gadjab

Lehi, UT • Hybrid

$22/hr

Part-time

Posted 17 days ago

Job description

Gadzoom Health is a growing Medical Directorship Group dedicated to providing exceptional care to patients in skilled nursing facilities. We are committed to delivering high quality services and improving patient health outcomes. Our team consists of skilled professionals who are passionate about making a difference in the lives of others.
We are seeking a part time Insurance Verification Specialist with strong customer service and communication skills to verify patient insurance coverage and benefits for services provided in our partnered communities across multiple states. 
This is a phone intensive position requiring frequent communication with a variety of insurance payers to confirm eligibility, benefits, coverage limitations, and authorization or referral requirements. The Insurance Verification Specialist will accurately document all verification details and ensure insurance information is complete and up to date to help prevent claim denials and reimbursement delays. This position will report to the Director of Revenue Cycle Management and collaborate with insurance payers, SNF partners, practitioners, and internal teams to support clean claims and timely reimbursement. 
This position is a part-time, in office role requiring about 20-25 hours per week, with the potential to transition to a hybrid schedule at the manager’s discretion. Following the initial training period, specific workdays and hours may be discussed with the manager based on department needs and the selected candidate’s availability. 
Key Responsibilities:
  • Verify patient insurance eligibility and benefits for services provided in skilled nursing facilities across multiple states
  • Conduct frequent outbound and inbound calls with insurance payers to confirm coverage, benefit limitations, effective dates, copayments, and coordination of benefits
  • Determine whether prior authorization, referral, or additional documentation is required before services are provided
  • Access and navigate multiple payer portals and verification systems to obtain accurate coverage information
  • Document verification details, reference numbers, payer representatives, and any other relevant information accurately and thoroughly
  • Maintain complete and current patient insurance information
  • Communicate coverage issues, missing information, and authorization requirements to the appropriate team members
  • Assist with resolving insurance discrepancies that could lead to claim denials or reimbursement delays
This is a general overview of the position and not intended to be a comprehensive list. Duties may be added, removed, or modified based on departmental and organizational needs. 
Preferred Qualifications:
  • Previous experience with medical insurance verification, eligibility, or revenue cycle processes
  • Knowledge of Medicare and Medicaid requirements
  • Experience working with insurance plans across multiple states. Familiarity with plans in Utah, Nevada, Texas, and Washington a plus
  • Ability to learn new systems and processes quickly. Advanced MD, Gehrimed, Availity, Noridian, Prism, UHC a plus
  • Independent and able to maintain accuracy while meeting deadlines
  • Ability to navigate multiple payer portals and computer systems efficiently

E04JI802p0k5409ativ