In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
... Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and ... SQL reviews, and debugging during development and production support cycles. * Partner with QA ...
New
... Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and ... SQL reviews, and debugging during development and production support cycles. * Partner with QA ...
New
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired ... Review basic technology requirements Hours * Choose your own schedule by self-scheduling 30-minute ...
Senior Director, Resource Management
Birmingham, AL · On-site +1
$225K - $300K/yr
Analyze trends in utilization and availability to drive redeployment of team members across offices ... Perks/Benefits we offer for full-time team members: - Medical, Dental, and Vision Insurance on the ...
Senior Director, Resource Management
Birmingham, AL · On-site +1
$225K - $300K/yr
Analyze trends in utilization and availability to drive redeployment of team members across offices ... Perks/Benefits we offer for full-time team members: - Medical, Dental, and Vision Insurance on the ...
$26.88 - $35.82/hr
Review and analyze public records such as leases, subleases, deeds, liens, and easements to ... At least 3 years of directly related commercial title insurance experience in title searching ...
$26.88 - $35.82/hr
Review and analyze public records such as leases, subleases, deeds, liens, and easements to ... At least 3 years of directly related commercial title insurance experience in title searching ...
$26.88 - $35.82/hr
Review and analyze public records such as leases, subleases, deeds, liens, and easements to ... At least 3 years of directly related commercial title insurance experience in title searching ...
$26.88 - $35.82/hr
Review and analyze public records such as leases, subleases, deeds, liens, and easements to ... At least 3 years of directly related commercial title insurance experience in title searching ...
$26.88 - $35.82/hr
Review and analyze public records such as leases, subleases, deeds, liens, and easements to ... At least 3 years of directly related commercial title insurance experience in title searching ...
$26.88 - $35.82/hr
Review and analyze public records such as leases, subleases, deeds, liens, and easements to ... At least 3 years of directly related commercial title insurance experience in title searching ...
LICENSED Outpatient Mental Health Therapist Alabama REMOTE
Dothan, AL · On-site +1
$70K - $85K/yr
Vision insurance Clinic Description Alabama Licensed Remote Mental Health Therapist As an ... reviews, and case notes according to company policy * Provide excellent customer service for ...
LICENSED Outpatient Mental Health Therapist Alabama REMOTE
Dothan, AL · On-site +1
$70K - $85K/yr
Vision insurance Clinic Description Alabama Licensed Remote Mental Health Therapist As an ... reviews, and case notes according to company policy * Provide excellent customer service for ...
Develop and lead a high-performance remote field-based sales team and strong accountability culture ... Conduct structured performance reviews and individual coaching to accelerate team development and ...
Develop and lead a high-performance remote field-based sales team and strong accountability culture ... Conduct structured performance reviews and individual coaching to accelerate team development and ...
Remote Insurance Utilization Review information
What is the difference between Remote Insurance Utilization Review vs Remote Claims Reviewer?
| Aspect | Remote Insurance Utilization Review | Remote Claims Reviewer |
|---|---|---|
| Credentials | Typically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professional | Usually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H |
| Work Environment | Remote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of services | Remote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance |
| Industry Usage | Commonly used in healthcare insurance to evaluate medical necessity | Used across insurance sectors to process and validate claims |
Remote Insurance Utilization Review focuses on assessing the medical necessity of services, often requiring healthcare credentials. Remote Claims Reviewers handle claims processing and validation, emphasizing insurance knowledge. Both roles are remote and industry-specific but differ in their primary responsibilities and required qualifications.
How does a remote insurance utilization review professional collaborate with healthcare providers and insurance companies?
Remote insurance utilization review professionals regularly interact with healthcare providers to gather patient information, clarify treatment plans, and ensure that clinical documentation supports insurance requirements. They also communicate with insurance companies to advocate for patient care, provide necessary justifications, and resolve coverage issues. While the work is done remotely, collaboration typically occurs via secure email, phone calls, and virtual meetings, requiring strong communication and organizational skills to ensure timely and accurate exchange of information.
What are remote insurance utilization review jobs?
Remote insurance utilization review jobs involve evaluating medical records and treatment plans to determine whether healthcare services are medically necessary and covered by a patient’s insurance plan. Professionals in these roles, often nurses or other healthcare specialists, work from home and communicate with healthcare providers, insurance companies, and patients. Their main goal is to ensure that patients receive appropriate care while also helping insurance companies manage costs and comply with regulations.
What are the key skills and qualifications needed to thrive as a Remote Insurance Utilization Review Specialist, and why are they important?
To thrive as a Remote Insurance Utilization Review Specialist, you need a strong understanding of medical terminology, clinical guidelines, and insurance policies—usually supported by a nursing or health-related degree and relevant licensure. Familiarity with electronic medical record (EMR) systems, insurance claims platforms, and utilization review software is essential. Strong analytical skills, attention to detail, and effective written communication are crucial soft skills for this role. These competencies ensure accurate case evaluations, compliance with regulations, and clear communication between healthcare providers and insurers.
What are the most commonly searched types of Insurance Utilization Review jobs in Alabama? The most popular types of Insurance Utilization Review jobs in Alabama are:
What are popular job titles related to Remote Insurance Utilization Review jobs in Alabama? For Remote Insurance Utilization Review jobs in Alabama, the most frequently searched job titles are:
- Night Utilization Review Nurse
- Part Time Utilization Review Nurse
- Remote Telephonic Nurse
- Remote Utilization Management Pharmacist
- Utilization Review Specialist
- Remote Medical Librarian
- Remote Utilization Review Physical Therapist
- Flex Schedule Remote Utilization Review Nurse
- Physician Advisor
- Remote Prior Authorization Nurse
What job categories do people searching Remote Insurance Utilization Review jobs in Alabama look for? The top searched job categories for Remote Insurance Utilization Review jobs in Alabama are:
- Night Shift Medical Utilization Review Physician
- Remote 30K Per Year
- Speech Therapy Utilization Review
- Remote Lpn Utilization Review
- Remote Utilization Review
- Utilization Review Manager
- Temporary Aetna Utilization Review Nurse
- Authorization Utilization Review Bcba
- Volunteer Navihealth Utilization Review
- Contract Utilization Review
What cities in Alabama are hiring for Remote Insurance Utilization Review jobs? Cities in Alabama with the most Remote Insurance Utilization Review job openings:
Job description
Healthcare Support Representative — Independent Contractor
Location: Remote (US-Based)
Make a difference—one call at a time, with the freedom to serve on your terms. Join a network of self-employed professionals supporting patients and/or providers, helping people get the care and answers they need while enjoying flexibility.
As an Independent Contractor, you will- Be your own boss.
- Choose when and to whom you provide support services.
- Set your own schedule.
- Provide a distraction-free home office.
- Provide your own home office equipment.
- Handle customer calls, assess needs, and solve problems.
- At least 1 year of phone-based healthcare patient or provider support experience.
- Computer skills, including navigating multiple systems and documenting call notes.
- Strong communication skills and the ability to connect with diverse individuals.
- Ability to sit for long periods.
- Patience and empathy.
- Ability to provide services pursuant to your contract independently.
- Experience in healthcare or related fields such as medical, social services, education, mental health services, or other relevant “people helping” fields.
- In-depth knowledge of health insurance; Medicaid and Medicare knowledge is highly desired.
- Comfortable with medical and health insurance terminology while refraining from offering medical advice.
- Submit invoices and receive payment for completed services pursuant to contract.
- Pay structures vary by client program; most programs pay for productive time and may include performance-based pay.
- Independent Contractors are responsible for their own taxes and expenses.
- Complete an application and pass a background check.
- Sign an Independent Contractor Agreement.
- Complete a W-9 form and set up direct deposit.
- Complete program-specific certifications.
The background check requires a non-refundable $25 processing fee paid directly to the background check vendor. View background requirements
Computer Requirements- Some clients may require additional security measures and equipment.
- Wired internet connection.
- Android or Apple phone.
- Provide your own equipment, including a Windows operating PC (Macs, Chromebooks, and tablets are not supported).
- Review basic technology requirements
- Choose your own schedule by self-scheduling 30-minute blocks.
- Client hours of operation will vary.
- Additional checks regarding OIG/SAM exclusion lists may be required by clients.
- Some clients and programs may have additional requirements and certifications.
- Ensure the clients you choose align with your availability and commitments.
Liveops is currently accepting applications in: AL, AK, AZ, DC, DE, FL, GA, IA, ID, IN, KS, KY, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NM, NV, OH, OK, PA, RI, SC, SD, TN, TX, VA, WV, WY.
About Liveops
Sourced by ZipRecruiter
Liveops, a virtual contact center, offers scalable, on-demand experiences through the VirtualFlex platform for both planned and unplanned CX needs. This tech-enabled, data-powered platform inspires and motivates brand-certified agents to deliver better experiences and attracts entrepreneurial US-based professionals with life experience that helps them connect with customers. We're a people-powered business, working tirelessly on behalf ofagents, clients, and employees to make life better.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Scottsdale , AZ, US
Year founded
2000