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Remote Insurance Utilization Review Jobs in Nevada

AmeriSave Mortgage Corp.

$50K - $200K/yr

Health insurance * Life insurance * Paid training * Referral program * Vision insurance ... reviewed here: www.amerisave.com/privacy-policy AmeriSave Mortgage Corporation's California ...

HOPCo

Coder II - Remote

Reno, NV · On-site +1

$18.75 - $25/hr

... and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure ... Knowledge of government and commercial insurance plans requirements. * Understands and applies ...

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Remote Insurance Utilization Review information

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

AspectRemote Insurance Utilization ReviewRemote Claims Reviewer
CredentialsTypically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professionalUsually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H
Work EnvironmentRemote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of servicesRemote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance
Industry UsageCommonly used in healthcare insurance to evaluate medical necessityUsed 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 popular job titles related to Remote Insurance Utilization Review jobs in Nevada? For Remote Insurance Utilization Review jobs in Nevada, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Utilization Review jobs in Nevada look for? The top searched job categories for Remote Insurance Utilization Review jobs in Nevada are:
What cities in Nevada are hiring for Remote Insurance Utilization Review jobs? Cities in Nevada with the most Remote Insurance Utilization Review job openings:
Remote Insurance Utilization Review jobs near you
Licensed Mortgage Loan Officer - REMOTE

Licensed Mortgage Loan Officer - REMOTE

AmeriSave Mortgage Corp.

Las Vegas, NV • Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 8 days ago

Job description

 Experienced Loan Officer | Inbound Calls | Remote
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$50,000 – $200,000+ Annually Earning Potential, Hourly Wage, Commission, All Inbound Calls – No Cold Calling. 
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Accelerate your income potential with company-provided, pre-qualified leads—no cold calling! AmeriSave offers top-tier tech, aggressive commissions, and the ability to delight your clients with our streamlined processes and speedy turn times. Build lasting relationships for referrals and repeat business.
  • 100% Remote opportunities
  • Aggressive, uncapped commission structure
  • Company provided pre-qualified leads.
  • Advanced CRM, texting tools, mobile loan applications, AI driven quote tool
  • Full benefits, paid training, licensing maintenance and career advancement opportunities 
What You'll Do:    
  • Engage with 100% warm transfer leads from motivated homebuyers and refinancers
  • Consult with borrowers to understand their needs and present loan options
  • Use our state of the art technology to qualify and close loans quickly
  • Build long-term relationships for future referrals and repeat business
  • Collaborate with in-house processors and underwriters for fast closings
  • Meet or exceed monthly sales goals and conversions.
What You'll Need:    
  • 1+ years of recent mortgage loan origination experience (call center preferred)
  • Active NMLS license
  • Minimum 1-5 active state licenses
  • Must meet all Nationwide Mortgage Licensing System & Registry (NMLS) requirements
  • Understanding of mortgage regulatory guidelines and ability to accurately structure and price loans.
  • Strong communication and negotiation skills
  • Self-motivated, driven, and results-oriented
  • Ability to thrive in a fast-paced, high-volume environment
  • Strong desire to succeed in a sales environment and to be a top producer.
  • High-speed internet required for remote work, Cable or Fiber ONLY with the ability to connect via Ethernet. Minimum speeds: 70/30 Mbps (basic), 200-300/35-70 Mbps (shared), 500-1,000/100+ Mbps (heavy use).
 
This is a remote opportunity.  Multiple schedules available.  Remote work applicants may not work from the following states:  California. 
 
Why AmeriSave:
As one of the top-rated lenders in the nation, our mission is to deliver beneficial, responsible home and personal lending solutions with unwavering integrity, dedication and excellence. 
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Our employees are the driving force behind our success. Join a team that values your contributions, celebrates your wins, and gives you the tools to thrive.
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-At AmeriSave, we're one team with one shared dream - to be the best.  Let’s redefine excellence together!   
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AmeriSave is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.    
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**Please note that the compensation and benefit information that follows is a good faith estimate for this position only and is provided pursuant to applicable state and local laws on pay transparency. It is estimated based on what a successful applicant in the relevant state might be paid. **     
Compensation:    
The hourly rate for this position generally ranges between $10.00-$15.00, against commission based upon individual performance.  Target annual compensation for this position is $50,000 – $200,000.   
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Benefits:    
  •  401(k)
  •  Dental insurance
  •  Disability insurance
  •  Employee discounts
  •  Health insurance
  •  Life insurance
  •  Paid training
  •  Referral program
  •  Vision insurance
Supplemental pay types:    
  •  Hourly draw
  •  Commissions
  •  Ramp up incentive
  •  Referral bonuses
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California Consumer Privacy Act Disclosure Acknowledgment    
Employment Applicants, New Hires, and Employees Residing in California    
     
AmeriSave Mortgage Corporation’s Privacy Policy Statement (“Policy”) can be reviewed here: www.amerisave.com/privacy-policy    
     
AmeriSave Mortgage Corporation’s California Consumer Privacy Act (“CCPA”) Recruitment Disclosure can be reviewed here: https://www.amerisave.com/ccpa-recruitment-disclosure/    
     
When AmeriSave’s Human Resources Department makes future requests for personal information, the same Policy is applicable. By applying, you understand this acknowledgment covers current and future personal information requests. You also acknowledge the business purpose of the personal information collected and that future requests may occur while applying for a position at AmeriSave and/or during employment, if applicable.