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Remote Insurance Utilization Review Jobs in Detroit, MI

Huntington

SBA Eligibility Review Officer III

Canton, MI · On-site +1

$77K - $154K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... insurance, retirement savings plan, paid leave programs, paid holidays and paid time off (PTO)

Huntington

SBA Eligibility Review Officer III

Detroit, MI · 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 ...

Huntington

SBA Eligibility Review Officer III

Canton, MI · 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 ...

Huntington

SBA Eligibility Review Officer III

Detroit, MI · On-site +1

$77K - $154K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... insurance, retirement savings plan, paid leave programs, paid holidays and paid time off (PTO)

Integra Partners

Medical Coding Specialist

Troy, MI · On-site +1

$65K - $65K/yr

The Medical Coding Specialist provides coding expertise to support Utilization Management ... Quality Review • Perform thorough self review of work prior to submission to ensure accuracy ...

Belle, LLC

Nurse Practitioner: Remote Urgent Care

Detroit, MI · Remote

$109K - $151K/yr

... insurance plans $38B+ in preventable medical spending every year. Belle trains and manages a ... Evaluate symptoms, review medical histories, and determine appropriate interventions. * Determine ...

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All JobsInsurance Utilization Review JobsRemote Insurance Utilization Review JobsRemote Insurance Utilization Review Jobs in Detroit, MI

Remote Insurance Utilization Review information

See Detroit, MI salary details

$21

$41

$68

How much do remote insurance utilization review jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for remote insurance utilization review in Detroit, MI is $41.86, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.08 per hour, depending on experience, location, and employer.

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 are the most commonly searched types of Insurance Utilization Review jobs in Detroit, MI?

The most popular types of Insurance Utilization Review jobs in Detroit, MI are:

What are popular job titles related to Remote Insurance Utilization Review jobs in Detroit, MI?

For Remote Insurance Utilization Review jobs in Detroit, MI, the most frequently searched job titles are:

What job categories do people searching Remote Insurance Utilization Review jobs in Detroit, MI look for?

The top searched job categories for Remote Insurance Utilization Review jobs in Detroit, MI are:

What cities near Detroit, MI are hiring for Remote Insurance Utilization Review jobs?

Cities near Detroit, MI with the most Remote Insurance Utilization Review job openings:

Remote Insurance Utilization Review jobs near you
Infographic showing various Remote Insurance Utilization Review job openings in Detroit, MI as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $87,064 per year, or $41.9 per hour.

Insurance Accounts Receivable Specialist

Healing Haven

Madison Heights, MI • On-site, Remote

$55K/yr

Full-time

Re-posted 7 days ago

Job description

Pay: starting at $55,000

Job Type: Full-Time

Work Location: Remote, Hybrid, or Onsite (based on organizational needs)

About Healing Haven

Healing Haven is a state-of-the-art behavioral health organization with three clinics across Metro Detroit supporting children with autism and their families. We take a family-centered approach to care and provide a full continuum of services, including Applied Behavior Analysis (ABA) Therapy, Speech Therapy, Occupational Therapy, Counseling, Parent Training, and Autism Diagnostic Testing. Through our collaborative, multidisciplinary model, we work together to help children and families reach their fullest potential.

Position Overview

We are seeking an experienced Insurance Accounts Receivable Specialist to join our growing Revenue Cycle team. This role requires strong experience in healthcare or behavioral health billing and involves managing insurance claims, resolving denials, monitoring authorizations, and ensuring timely reimbursement using the CentralReach platform.

Compensation & Benefits
  • Salary based on experience
  • Comprehensive medical, dental, and vision coverage with employer contributions towards medical
  • Employer-paid $50,000 life insurance
  • Short-term disability coverage
  • 401(k) retirement plan
  • Earned Wage Access for financial flexibility
  • Generous paid time off
Key Responsibilities
  • Manage insurance accounts receivable and follow up on outstanding balances
  • Research and resolve denied, rejected, and underpaid claims
  • Submit corrected claims, appeals, and supporting documentation as needed
  • Work with insurance payers to obtain claim status updates and secure reimbursement
  • Use CentralReach for billing workflows, claims, payment posting, and reporting
  • Monitor authorizations and ensure accurate service billing against approved units
  • Maintain accurate insurance and payer records within CentralReach
  • Collaborate with intake, clinical, and authorization teams to resolve billing issues
  • Support month-end reporting and revenue cycle performance tracking
Requirements
  • 2+ years of insurance accounts receivable experience in ABA, healthcare, or behavioral health setting,
  • Experience with ABA billing and revenue cycle processes preferred
  • Proficiency in CentralReach (billing, claims, payment posting, reporting)
  • Strong understanding of denials, appeals, ERAs, EOBs, CPT codes, and modifiers
  • Experience with insurance authorizations and payer requirements
  • Strong analytical, organizational, and communication skills
  • Ability to perform standard computer-based work in an office or remote environment (e.g., prolonged computer use, data entry, and digital document review)