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Rate Reviewer Jobs in Indiana (NOW HIRING)

Schneck Medical Center

UTILIZATION REVIEW RN

Seymour, IN · On-site

$30.72/hr

Pay rate starts at $30.72/hr and increases with experience. JOB REQUIREMENTS EDUCATION Minimum ... For further information, please review the Know Your Rights notice from the Department of Labor.

HHC

UTILIZATION REVIEW SPECIALIST

Indianapolis, IN · On-site

... rate of accuracy Flexibility to changing departmental requirements Ability to coordinate and ... Hospital Review for four consecutive years and Forbes list of best places to work for women, and ...

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Rate Reviewer information

How much do Netflix reviewers get paid?

Netflix reviewers, often called content evaluators or quality analysts, typically earn between $15 and $25 per hour, depending on experience and location. Compensation may include benefits and opportunities for remote work, with some roles requiring familiarity with content review tools and standards.

What job makes $10,000 a month without a degree?

A Rate Reviewer typically earns less than $10,000 per month, as this role involves evaluating insurance or financial data and usually offers moderate pay. High-paying jobs that can reach $10,000 monthly without a degree include sales managers, real estate brokers, or skilled trades like electricians or plumbers, often requiring experience, certifications, or specialized skills rather than formal degrees.

How to make 2000 a week working from home?

A Rate Reviewer can potentially earn $2,000 weekly by handling a high volume of reviews, maintaining accuracy, and working full-time hours. Increasing efficiency, gaining relevant experience, and working for companies that pay competitive rates are key factors; some reviewers work flexible schedules to meet income goals.

Can you really get paid for reviews?

Rate reviewers can earn money by writing reviews for products, services, or businesses, often through platforms that pay for honest feedback. Payment methods vary and may include cash, gift cards, or other incentives, but it's important to verify the legitimacy of the platform before participating. Reliable review jobs typically require good writing skills and adherence to guidelines.

What is the difference between Rate Reviewer vs Claims Adjuster?

AspectRate ReviewerClaims Adjuster
Required CredentialsTypically a high school diploma or equivalent; some roles prefer insurance or finance certificationsHigh school diploma or equivalent; often requires state licensing or certification
Work EnvironmentOffice-based, reviewing insurance rates and policiesField and office-based, investigating and settling insurance claims
Employer & Industry UsageInsurance companies, financial institutionsInsurance companies, public agencies
Comparison Search IntentUnderstanding role differences, job requirements, or career pathsComparing job responsibilities, qualifications, or career options

Both roles are integral to the insurance industry, but a Rate Reviewer primarily evaluates and approves insurance rates, while a Claims Adjuster investigates and settles claims. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

What are the key skills and qualifications needed to thrive as a Rate Reviewer, and why are they important?

To thrive as a Rate Reviewer, you need strong analytical abilities, attention to detail, and a background in finance, insurance, or a related field—often supported by a bachelor's degree. Familiarity with regulatory compliance tools, actuarial software, and data management systems is typically required. Excellent written communication, objectivity, and organizational skills help you navigate complex regulations and present findings clearly. These competencies ensure accurate rate assessments, regulatory compliance, and effective collaboration with stakeholders.

What are Rate Reviewers?

Rate Reviewers are professionals who evaluate and analyze proposed rates, often within industries like insurance, utilities, or healthcare. Their primary responsibility is to ensure that rates set by companies are fair, reasonable, and comply with regulatory standards. They review detailed documentation, financial data, and justifications for rate changes to protect consumer interests and maintain industry transparency. Rate Reviewers often work for government agencies, regulatory bodies, or large organizations.

What are some common challenges faced by Rate Reviewers and how can they be managed effectively?

Rate Reviewers frequently encounter the challenge of analyzing complex data sets and ensuring compliance with evolving regulatory standards. Staying current with industry regulations and maintaining strong attention to detail are essential for success. Effective collaboration with actuaries, underwriters, and regulatory agencies also helps to resolve discrepancies and ensure accurate rate filings. Developing strong analytical and communication skills can help Rate Reviewers address these challenges and contribute to the organization's compliance and profitability.
What are popular job titles related to Rate Reviewer jobs in Indiana? For Rate Reviewer jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Rate Reviewer jobs in Indiana look for? The top searched job categories for Rate Reviewer jobs in Indiana are:
What cities in Indiana are hiring for Rate Reviewer jobs? Cities in Indiana with the most Rate Reviewer job openings:
Rate Reviewer jobs near you
Utilization Review Coordinator

Utilization Review Coordinator

Neuropsychiatric Hospitals

Indianapolis, IN

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Job description

Healing Body and Mind.

NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it’s needed most.

With locations in Indiana, Michigan, Texas, and Arizona, we’re expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day


NeuroPsychiatric Hospitals of Indianapolis is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.

Benefits of joining NPH

  • Competitive pay rates
  • Medical, Dental, and Vision Insurance
  • NPH 401(k) plan with up to 4% Company match
  • Employee Assistance Program (EAP) Programs
  • Generous PTO and Time Off Policy
  • Special tuition offers through Capella University
  • Work/life balance with great professional growth opportunities
  • Employee Discounts through LifeMart

  • Filing documents as needed.
  • Initial Precertification with payors.
  • Concurrent Clinical review with payors.
  • Document in the electronic system daily in real time.
  • Admission audit.
  • Ensures that CON’s/RON’s and CMS certifications are completed by provider.
  • Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
  • Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
  • Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
  • Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
  • Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
  • Complies with hospital expectations regarding ethical behavior and standards of conduct.
  • Complies with federal and hospital requirements in the areas of protected health information and patient information.
  • Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
  • Provides education to nursing staff. ;eadership team, and providers regarding documentation.
  • Actively works with the business office regarding resolution of appeals/denials and retrospective reviews. 

Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.

Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.

Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.

Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW

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