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Remote Insurance Utilization Review Jobs in Ohio

Remote roles will also have the opportunity to come together in our offices for moments that matter ... In addition, Huntington provides a variety of benefits to colleagues, including health insurance ...

Clinical Data Coder

Cincinnati, OH · On-site +1

$18 - $22.75/hr

Produce coding reports for team review and utilization *Stable schedule with no weekends, no work on Medpace holidays, and flexible work schedule* Qualifications * BSN and RN with applicable ...

Clinical Data Coder

Cincinnati, OH · On-site +1

$18 - $22.75/hr

Produce coding reports for team review and utilization *Stable schedule with no weekends, no work on Medpace holidays, and flexible work schedule* Qualifications * BSN and RN with applicable ...

Credit Review Team Leader Sr

Columbus, OH · On-site +1

$125K - $255K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... In addition, Huntington provides a variety of benefits to colleagues, including health insurance ...

Clinical Data Coder

Cincinnati, OH · On-site +1

$18 - $22.75/hr

Produce coding reports for team review and utilization *Stable schedule with no weekends, no work on Medpace holidays, and flexible work schedule* Qualifications * BSN and RN with applicable ...

Remote roles will also have the opportunity to come together in our offices for moments that matter ... In addition, Huntington provides a variety of benefits to colleagues, including health insurance ...

Remote roles will also have the opportunity to come together in our offices for moments that matter ... In addition, Huntington provides a variety of benefits to colleagues, including health insurance ...

Remote roles will also have the opportunity to come together in our offices for moments that matter ... In addition, Huntington provides a variety of benefits to colleagues, including health insurance ...

SBA Eligibility Review Officer III

Akron, OH · On-site +1

$77K - $154K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... In addition, Huntington provides a variety of benefits to colleagues, including health insurance ...

Showing results 21-40

Remote Insurance Utilization Review information

What is a remote insurance utilization review?

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 skills and qualifications are needed for a remote insurance utilization review specialist?

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.

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 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.

What cities in Ohio are hiring for Remote Insurance Utilization Review jobs?

Cities in Ohio with the most Remote Insurance Utilization Review job openings:

Infographic showing various Remote Insurance Utilization Review job openings in Ohio as of September 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution.

Credit Review Officer - Consumer

Cleveland, OH • On-site, Remote

Huntington
Banking and Credit Intermediation • 10K+ employees

$70K - $140K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 19 days ago


Huntington National Bank rating

8.1

Company rating: 8.1 out of 10

Based on 174 frontline employees who took The Breakroom Quiz


Job description

Description Summary: The Credit Review Officer - Consumer reports to a Credit Review Group Manager or Team Lead. The ideal candidate is a proven credit risk professional with an exceptional delivery track record within retail/consumer credit. The CRO independently evaluates and reports on the effectiveness of the credit processes that produce and monitor assets that generate credit risk.

Duties and Responsibilities: The candidate should possess a detailed working knowledge of the methodologies and techniques for performing credit risk review engagements and continuous monitoring activities associated with a strong independent credit review function within a large financial institution. Participate in the execution of Retail Consumer credit review program assignments in accordance with departmental policy and procedures to effectively assess: credit risk inherent in products/services and related activities, adherence to credit policies and procedures, compliance with legal and regulatory requirements, and exam results to determine if issues exist and improvement recommendation are necessary. Review transactions and/or mine/analysis broader portfolio data for the quality of underwriting, effective credit processing, adequacy of portfolio/risk management, and compliance with HNB Credit Policy; document conclusions that are concise, accurate and facilitate aggregation for reporting to the intended audience.

Compile and structure data from multiple sources (internal and external), create and accurately summarize results that are easily utilized by the end-user. Conducts periodic risk assessment processes and on-going continuous data analysis reporting to identify emerging risks and factors that necessitate amendments to the annual plan. Attend segment/business credit risk management committee meetings aligned with area of subject matter expertise; act as a risk management resource to the business units; communicate key takeaways to the broader Credit Review team.

Identify and communicate emerging risk issues to provide feedback and recommendations to enhance credit risk management practices across the enterprise. Able to develop and maintain working relationships with bank management, and the broader credit review team in order to effectively and efficiently execute review responsibilities. Provide CR senior management with information regarding the identification, measurement and management of credit risk for assigned business units.

Strong verbal and written communication skills as well as ability to manage engagements/projects within allocated timeframes Performs other duties as assigned. Basic Qualifications: Bachelor's Degree or 4 years of related consumer or scored small business lending experience 5+ years of related experience in credit review, risk management, underwriting or data/credit risk analysis Preferred Qualifications: Working knowledgeable of credit risk management and control frameworks Working knowledge of MS Access, Excel, PowerPoint, Word, and credit/statistical analysis tools Project management skills, ability to deliver high quality results while meeting deadlines, department and personal goals Preferred degrees: Accounting, Finance, Economics, Business or Statistics related field Certification, Advanced Degree or demonstrated progress toward (i.e. MBA, CPA, Financial Risk Manager, SAS Certified Base Programmer etc.) Technical accounting (GAAP) or financial statement analysis knowledge 3+ years utilizing SAS/SQL language Conflict management #LI-RP1 Exempt Status: (Yes = not eligible for overtime pay) (No = eligible for overtime pay) Yes Workplace Type: Office Our Approach to Office Workplace Type Certain positions outside our branch network may be eligible for a flexible work arrangement

We're combining the best of both worlds: in-office and work from home. Our approach enables our teams to deepen connections, maintain a strong community, and do their best work. Remote roles will also have the opportunity to come together in our offices for moments that matter.

Specific work arrangements will be provided by the hiring team. Compensation Range: $70,000-$140,000 Annual Salary The compensation range represents the anticipated low and high end of the base compensation range for this position. Actual compensation will vary based on various factors including but not limited to location, experience, and education.

Colleagues in this position are also eligible to participate in an applicable incentive compensation plan. In addition, Huntington provides a variety of benefits to colleagues, including health insurance coverage, wellness program, life and disability insurance, retirement savings plan, paid leave programs, paid holidays and paid time off (PTO). Huntington is an Equal Opportunity Employer.

Tobacco-Free Hiring Practice: Visit Huntington's Career Web Site for more details. Note to Agency Recruiters: Huntington will not pay a fee for any placement resulting from the receipt of an unsolicited resume. All unsolicited resumes sent to any Huntington colleagues, directly or indirectly, will be considered Huntington property.

Recruiting agencies must have a valid, written and fully executed Master Service Agreement and Statement of Work for consideration. Apply


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