$40.61 - $60.96/hr
General Summary Using the established guidelines for Utilization Review, the Utilization Management Coordinator collaborates with members of the hospital team, the insurance provider, and regulatory ...
$40.61 - $60.96/hr
General Summary Using the established guidelines for Utilization Review, the Utilization Management Coordinator collaborates with members of the hospital team, the insurance provider, and regulatory ...
Glen Burnie, MD · On-site
$406K/yr
General Summary Using the established guidelines for Utilization Review, the Utilization Management Coordinator collaborates with members of the hospital team, the insurance provider, and regulatory ...
Glen Burnie, MD · On-site
$406K/yr
General Summary Using the established guidelines for Utilization Review, the Utilization Management Coordinator collaborates with members of the hospital team, the insurance provider, and regulatory ...
Job Type: Part-time Contractor Required Skills and Experience: * Broad state licensure coverage ... Perform clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to peer ...
Job Type: Part-time Contractor Required Skills and Experience: * Broad state licensure coverage ... Perform clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to peer ...
Olney, MD · On-site
$89K - $162K/yr
Work days are set for Wednesdays and Thursdays each week, experienced utilization review candidates highly preferred for this dual discharge planner/UR role*** General Summary of Position Serves as a ...
Olney, MD · On-site
$89K - $162K/yr
Work days are set for Wednesdays and Thursdays each week, experienced utilization review candidates highly preferred for this dual discharge planner/UR role*** General Summary of Position Serves as a ...
Columbia, MD · On-site
DEA Position Highlights : * 12 hours a week, part time * Provide direct medical care, including ... Participate in quality improvement initiatives, utilization review, infection control, and ...
Columbia, MD · On-site
DEA Position Highlights : * 12 hours a week, part time * Provide direct medical care, including ... Participate in quality improvement initiatives, utilization review, infection control, and ...
Riderwood Village by Erickson Senior Living Join our team as a part-time MDS Coordinator and make a ... Utilization Review * Experience documenting in an Electronic Medical Record (EMR) preferred
Riderwood Village by Erickson Senior Living Join our team as a part-time MDS Coordinator and make a ... Utilization Review * Experience documenting in an Electronic Medical Record (EMR) preferred
Silver Spring, MD · On-site
$50/hr
Riderwood Village by Erickson Senior Living Join our team as a part-time MDS Coordinator and make a ... Utilization Review * Experience documenting in an Electronic Medical Record (EMR) preferred
Silver Spring, MD · On-site
$50/hr
Riderwood Village by Erickson Senior Living Join our team as a part-time MDS Coordinator and make a ... Utilization Review * Experience documenting in an Electronic Medical Record (EMR) preferred
Bowie, MD · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
Bowie, MD · On-site
Affordable medical, dental, and vision plans for both full-time and part-time employees and their ... Participate in utilization review process: data collection, trend review, and resolution actions.
May contact the insurance company by phone to clarify insurance coverage * May document on line admission or other patient service date to initiate payors and hospital utilization review process
May contact the insurance company by phone to clarify insurance coverage * May document on line admission or other patient service date to initiate payors and hospital utilization review process
Edgewood, MD · On-site
$16.50 - $20.50/hr
Ensure proper documentation for transmitting information to insurance companies, reviewing profiles for appropriate billing choices. * Alert pharmacists appropriately for drug utilization reviews ...
Edgewood, MD · On-site
$16.50 - $20.50/hr
Ensure proper documentation for transmitting information to insurance companies, reviewing profiles for appropriate billing choices. * Alert pharmacists appropriately for drug utilization reviews ...
$18 - $22/hr
... insurance plan. * Respond to patient questions in office and on phone as instructed. * Review and ... Basic computer skills and experience in EMR utilization. * Able to operate standard office ...
$18 - $22/hr
... insurance plan. * Respond to patient questions in office and on phone as instructed. * Review and ... Basic computer skills and experience in EMR utilization. * Able to operate standard office ...
... review and insurance companies to obtain information and insurance verification to assure quality ... Other duties pertinent to optimal customer service patient flow and efficient staff utilization are ...
... review and insurance companies to obtain information and insurance verification to assure quality ... Other duties pertinent to optimal customer service patient flow and efficient staff utilization are ...
... insurance plan. * Respond to patient questions in office and on phone as instructed. * Review and ... Basic computer skills and experience in EMR utilization. * Able to operate standard office ...
... insurance plan. * Respond to patient questions in office and on phone as instructed. * Review and ... Basic computer skills and experience in EMR utilization. * Able to operate standard office ...
Stevensville, MD · On-site
$18 - $22/hr
... insurance plan. * Respond to patient questions in office and on phone as instructed. * Review and ... Basic computer skills and experience in EMR utilization. * Able to operate standard office ...
Stevensville, MD · On-site
$18 - $22/hr
... insurance plan. * Respond to patient questions in office and on phone as instructed. * Review and ... Basic computer skills and experience in EMR utilization. * Able to operate standard office ...
Millersville, MD · On-site
$18 - $22/hr
... insurance plan. * Respond to patient questions in office and on phone as instructed. * Review and ... Basic computer skills and experience in EMR utilization. * Able to operate standard office ...
Millersville, MD · On-site
$18 - $22/hr
... insurance plan. * Respond to patient questions in office and on phone as instructed. * Review and ... Basic computer skills and experience in EMR utilization. * Able to operate standard office ...
Silver Spring, MD · On-site
$17.65 - $23.85/hr
Employment Type: Part time Shift: Rotating Shift Description: Job Title: Supply Chain Tech ... Demonstrates accountability through utilization of good time management ensuring completion of all ...
Silver Spring, MD · On-site
$17.65 - $23.85/hr
Employment Type: Part time Shift: Rotating Shift Description: Job Title: Supply Chain Tech ... Demonstrates accountability through utilization of good time management ensuring completion of all ...
Silver Spring, MD · On-site
$17.65 - $25.04/hr
Employment Type: Part time Shift: Weekend Shift Description: Job Title: Supply Chain Tech, Advanced ... Demonstrates accountability through utilization of good time management ensuring completion of all ...
Silver Spring, MD · On-site
$17.65 - $25.04/hr
Employment Type: Part time Shift: Weekend Shift Description: Job Title: Supply Chain Tech, Advanced ... Demonstrates accountability through utilization of good time management ensuring completion of all ...
Annapolis, MD · On-site
$18 - $22/hr
... insurance plan. * Respond to patient questions in office and on phone as instructed. * Review and ... Basic computer skills and experience in EMR utilization. * Able to operate standard office ...
Annapolis, MD · On-site
$18 - $22/hr
... insurance plan. * Respond to patient questions in office and on phone as instructed. * Review and ... Basic computer skills and experience in EMR utilization. * Able to operate standard office ...
Stevensville, MD · On-site
$18 - $22/hr
... insurance plan. * Respond to patient questions in office and on phone as instructed. * Review and ... Basic computer skills and experience in EMR utilization. * Able to operate standard office ...
Stevensville, MD · On-site
$18 - $22/hr
... insurance plan. * Respond to patient questions in office and on phone as instructed. * Review and ... Basic computer skills and experience in EMR utilization. * Able to operate standard office ...
Silver Spring, MD · On-site
$17.65 - $23.85/hr
Employment Type: Part time Shift: Rotating Shift Description: Job Title:Supply Chain Tech ... Demonstrates accountability through utilization of good time management ensuring completion of all ...
Silver Spring, MD · On-site
$17.65 - $23.85/hr
Employment Type: Part time Shift: Rotating Shift Description: Job Title:Supply Chain Tech ... Demonstrates accountability through utilization of good time management ensuring completion of all ...
$21.26 - $25.56
2% of jobs
$25.56 - $29.86
9% of jobs
$32.80 is the 25th percentile. Wages below this are outliers.
$29.86 - $34.16
21% of jobs
The median wage is $37.64 / hr.
$34.16 - $38.46
23% of jobs
$38.46 - $42.75
13% of jobs
$46.10 is the 75th percentile. Wages above this are outliers.
$42.75 - $47.05
10% of jobs
$47.05 - $51.35
8% of jobs
$51.35 - $55.65
5% of jobs
$55.65 - $59.95
5% of jobs
$59.95 - $64.25
2% of jobs
$64.25 - $68.55
2% of jobs
$21
$42
$68
| Aspect | Part Time Insurance Utilization Review | Part Time Claims Reviewer |
|---|---|---|
| Credentials | Typically requires insurance or healthcare-related certifications | Often requires insurance or claims processing certifications |
| Work Environment | Healthcare settings, insurance companies, or third-party administrators | Insurance companies, claims processing centers, or third-party administrators |
| Job Focus | Evaluating medical necessity and appropriateness of services | Reviewing and processing insurance claims for accuracy and coverage |
Part Time Insurance Utilization Review and Part Time Claims Reviewer roles both involve insurance industry work, but focus on different aspects. Utilization review centers on assessing medical necessity, while claims reviewers handle processing and verifying claims. Understanding these differences helps job seekers find the right fit based on their skills and interests.
$40.61 - $60.96/hr
Part-time
Posted 14 days ago
Experience the highest level of appreciation at UM Baltimore Washington Medical Center - named Top Workplace in the Baltimore area by The Baltimore Sun two years in a row (2019 & 2020); Top Workplace in the USA for 2021! As part of the acclaimed University of Maryland Medical System, our facility is one of three ANCC Pathway to Excellence designated hospitals in Maryland. UM BWMC features one of the state's busiest emergency departments, as well as a team of experts who care for our community and one another. The University of Maryland Baltimore Washington Medical Center (UMBWMC) provides the highest quality health care services to the communities we serve. Our medical center is home to leading-edge technology, nationally recognized quality, personalized service and outstanding people. We have 285 licensed beds and we're home to 3,200 employees and over 800 physicians. Our expert physicians and experienced, compassionate staff are connected to medical practices in the local community as well as at University of Maryland Medical Center in downtown Baltimore. For patients, this means access to high-quality care and research discoveries aimed at improving Maryland's health. Our physicians and nursing staff specialize in emergency, acute, medical-surgical and critical care. In addition, our medical center is home to many Centers of Excellence, offering expert outpatient health care.
General Summary
Using the established guidelines for Utilization Review, the Utilization Management Coordinator collaborates with members of the hospital team, the insurance provider, and regulatory agencies to assure compliance with regulatory and reimbursement requirements.The position is goal-oriented with a high level of accountability correlated to maximizing reimbursement and minimizing denials.
Mission
All employees are responsible for extending the mission and values of Baltimore Washington Medical Center by dedicating oneself to providing the highest quality healthcare services to the communities we serve.
Reporting Relationships
Reports to the Director of Care Management.
Education:Graduation from an accredited nursing education program approved by the Board of Nursing or found to be substantially equivalent to the programs in Maryland. Currently licensed as a Registered Nurse in the State of Marylandrequired, BSN preferred.
Experience:Three (3) yearsof relevantclinical experience required.Ongoing education, certification, and self development to remain current with industry standards and business objectives related to hospital utilization and case management.
All your information will be kept confidential according to EEO guidelines.
Compensation:
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