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Part Time Remote Utilization Review Jobs in Texas

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Part Time Remote Utilization Review information

What are the key skills and qualifications needed to thrive as a Part Time Remote Utilization Review Nurse, and why are they important?

To thrive as a Part Time Remote Utilization Review Nurse, you need a current RN license, strong clinical judgment, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and systems such as InterQual or MCG is typically required. Excellent communication, critical thinking, and self-motivation are vital soft skills for coordinating care and making independent decisions remotely. These skills ensure accurate case evaluations, regulatory compliance, and effective collaboration with healthcare teams while working from a remote setting.

What is the difference between Part Time Remote Utilization Review vs Part Time Remote Claims Reviewer?

AspectPart Time Remote Utilization ReviewPart Time Remote Claims Reviewer
CredentialsTypically requires healthcare licenses (e.g., RN, MD) and utilization review certificationsUsually requires insurance or claims processing experience, with some industry-specific certifications
Work EnvironmentRemote, healthcare-focused, reviewing medical necessity and appropriateness of careRemote, insurance or healthcare claims processing, verifying coverage and claims accuracy
Employer & Industry UsageHospitals, insurance companies, healthcare organizationsInsurance companies, third-party administrators, healthcare payers

Part Time Remote Utilization Review and Part Time Remote Claims Reviewer both operate remotely but focus on different aspects of healthcare administration. Utilization reviewers assess medical necessity, while claims reviewers verify insurance claims. Understanding these differences helps job seekers find roles aligned with their skills and credentials.

What is a Part Time Remote Utilization Review position?

A Part Time Remote Utilization Review position involves evaluating medical records and healthcare services to ensure they are necessary and appropriate, typically for insurance companies or healthcare providers. This job is performed remotely, allowing professionals to work from home or another location outside of a traditional office setting. Part-time roles generally require fewer hours than full-time positions, making them suitable for those seeking flexible schedules. Professionals in this role often have backgrounds in nursing or healthcare and use their expertise to review patient care for quality and cost-effectiveness.

What are the typical challenges faced by part-time remote utilization review professionals, and how can they be managed?

Part-time remote utilization review professionals often face challenges such as balancing a variable workload, ensuring timely communication with healthcare providers, and staying current with changing insurance guidelines. Since much of the work is done independently, strong time management and self-motivation are essential to meet review deadlines. Regularly scheduled check-ins with the team and utilizing digital collaboration tools can help maintain connectivity and support. Staying organized and proactive in seeking clarification when needed can mitigate common challenges and lead to a successful experience in this role.
What are the most commonly searched types of Remote Utilization Review jobs in Texas? The most popular types of Remote Utilization Review jobs in Texas are:
What cities in Texas are hiring for Part Time Remote Utilization Review jobs? Cities in Texas with the most Part Time Remote Utilization Review job openings:
Infographic showing various Part Time Remote Utilization Review job openings in Texas as of July 2026, with employment types broken down into 100% Part Time. Highlights an 100% Remote job distribution.
Part-Time Remote Insurance Representative

Part-Time Remote Insurance Representative

Afni, Inc.

Austin, TX • Remote

$39K - $54K/yr

Part-time

PTO

Posted 3 days ago

New


Afni rating

7.1

Company rating: 7.1 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

17th of 72 rated call and contact centers


Job description

Career paths start at $17.75/hr and are bonus eligible.


After Full-Time Training:This part-time position is based on a 20-hour per week schedule, with weekly hours ranging from 10-29 based on operational requirements. Work schedules are typically finalized and communicated one month in advance.

**You must live in Texas to be eligible for this position**

What Will I Do as an Insurance Specialist?
Did you know that insurance is one of the most sustainable industries around? People will always need protection for the things they value!
Our Insurance Specialists go through a paid training program to obtain state licensing and become a Licensed Insurance Sales Agent!

For this part-time opportunity, training is completed on a full-time schedule. Upon completion of training, you will move into the part-time schedule assigned for this role.

Once licensed, you will represent one of the nation's top insurance providers by taking inbound calls from warm leads to close the deal on insurance sales. You will interact with customers to understand their needs and offer the best solutions for them. Using strong relationship-building you will provide an exceptional customer experience for customers.

Duties and Responsibilities
Take inbound calls and conduct a consultation to identify the prospective insured's needs. You will take control of the conversation and match products and solutions that will best meet those needs.
Educate the customers on available insurance products and services while identifying opportunities to sell additional products.
Read all disclosures verbatim and ensure all coverages and solutions are communicated effectively using the provided resources.
Formulate solutions for customers by researching, analyzing, and resolving inquiries regarding insurance and service-related issues.
Engage in a conversation with people from all walks of life; every caller is unique, so providing and customizing assistance according to the policyholder's needs is a crucial part of the role.

As an Insurance Specialist, you get:
Remote Work. This position is 100% remote. We will send you the equipment needed for this role.
Part-time hours. 20-hour base work week after full-time paid training.
Job Stability. We've been in business since 1936.
Paid Time Off. PTO accrual is based on hours worked and applicable policy.
Sick Time. Sick time accrues based on hours worked, policy, and applicable law.
Referral Program. We have one of the most lucrative referral programs around.
Career Growth. Most of our senior leadership started as agents. We promote from within!
Annual Performance Reviews. We reward your good work with more money.

What are the qualifications to be an Insurance Specialist at Afni?
At least six months working in a service or sales environment
Ability to work in a fast-paced environment
Ability to multitask and use effective time management
Computer skills using multiple screens and applications at the same time
Exceptional communication and active listening skills, with the ability to build rapport and handle difficult situations professionally; navigating multiple systems and maintaining a positive attitude under pressure; quick-thinking problem solver; and self-motivated with a strong work ethic and effective time management.
Sales-focused mindset: Proven ability to sell and upsell products/services while delivering excellent customer service.
Able to attend 100% of the paid training period.
Available to work assigned part-time shifts after full-time paid training, including weekends and some holidays, between 7:30am - 12:30am EST.
Must pass a background screening, be at least 18 years old, have a GED or High School Diploma, and be legally permitted to work in the United States.

What You Need to Thrive in Our Remote Environment:
Cable or Fiber Internet Service only (no dial-up, DSL, satellite or cellular)
25Mbps Download/10Mbps Upload
Ping Rate - Less than 100 ms
A private workspace with desk/chair where surrounding noise (children, pets, people, electronics, etc.) cannot be heard or present during working hours.

Ability to be on webcam during working hours

Why Afni?
Because with us, you matter. At Afni you are not simply an employee, you're part of our culture. When you work here, you can take your career and your life where you want to go. Our employees want their careers to be more than just a series of jobs. This is where you make lifelong friendships, learn new skills, make an impact, have a little fun, and belong.
At Afni we provide equal employment opportunities to all qualified individuals. Employment is based upon personal capabilities and qualifications without discrimination because of race, color, religion, sex, age, national origin, disability, or any other protected characteristic as established by law. This policy of Equal Employment Opportunity applies to all policies and procedures relating to recruitment and hiring, compensation, benefits, termination, and all other terms and conditions of employment.


Click this link to learn more about our Referral Rewards Program:
https://afnicareers.com/referral-rewards
*Referrals must be new Afni hires and cannot be a rehire.

More About Afni:
What we do: https://afnicareers.com/get-to-know-us
Where are we located: https://afnicareers.com/locations
What's new with us: https://afnicareers.com/news-events
What it's like being part of the Afni family: https://afnicareers.com/culture-perks


What Afni employees say

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