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Remote Insurance Utilization Review Jobs in Hampton, VA

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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 Hampton, VA is $40.86, according to ZipRecruiter salary data. Most workers in this role earn between $32.31 and $46.92 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 popular job titles related to Remote Insurance Utilization Review jobs in Hampton, VA?

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

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

The top searched job categories for Remote Insurance Utilization Review jobs in Hampton, VA are:

What cities near Hampton, VA are hiring for Remote Insurance Utilization Review jobs?

Cities near Hampton, VA 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 Hampton, VA as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $84,995 per year, or $40.9 per hour.

Clinical System Support Specialist II

Abbott

Virginia Beach, VA • On-site, Remote

$35 - $40/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 5 days ago

Abbott rating

7.8

Company rating: 7.8 out of 10

Based on 138 frontline employees who took The Breakroom Quiz

175th of 544 rated manufacturers

Job description

Title: Clinical System Support Specialist II
Location: Remote
Duration: 6 Months
Remote
Summary
The Remote Clinical System Support Specialist II will provide technical, clinical, and programming support for Abbott therapies while partnering closely with Territory Managers and healthcare providers. This role serves as a clinical resource to physicians, nursing staff, and customers by delivering product education, procedural support, troubleshooting assistance, and customer training. The specialist will build strong customer relationships, support sales initiatives, assist with case coverage, and help drive adoption and utilization of Abbott's implantable medical device therapies. This position requires a high degree of independence, strong communication skills, and the ability to work effectively in a fast-paced clinical environment.
Duties & Responsibilities
  • Provide technical, clinical, and programming support to Territory Managers and customers.
  • Support physicians and clinical staff with product education, training, in-services, and troubleshooting.
  • Assist with procedural and case coverage activities, including after-hours support as needed.
  • Build and maintain strong relationships with healthcare professionals and key customer accounts.
  • Deliver clinical expertise and guidance regarding Abbott therapies and implantable medical devices.
  • Identify customer training needs and provide solutions to increase product utilization and competency.
  • Support sales initiatives by assisting with evaluations, account development, and capital equipment opportunities.
  • Maintain compliance with FDA regulations, company policies, and applicable healthcare industry standards.
  • Attend industry meetings, trade shows, and educational events as required.

Required Experience
  • Minimum 1+ year of relevant work experience, preferably in a clinical, healthcare, patient care, or medical device environment.
  • Experience working directly with patients and/or healthcare professionals preferred.
  • Ability to work independently and manage multiple priorities in a dynamic environment.
  • Willingness to travel regularly within the assigned territory.
  • Ability to accommodate a flexible schedule, including occasional after-hours support.

Key Skills
  • Clinical support and customer training
  • Medical device troubleshooting and technical support
  • Relationship management and customer engagement
  • Strong verbal, written, and presentation skills
  • Case coverage and procedural support
  • Clinical education and in-service training
  • Territory collaboration and sales support
  • Problem-solving and critical thinking
  • Time management and organizational skills

Preferred Experience
  • Medical device industry experience
  • Experience supporting implantable devices or cardiac rhythm management products
  • Clinical hospital, cath lab, EP lab, or patient care experience
  • Biomedical engineering or related technical background

Must Have:
  • Valid driver's license
  • Ability to travel average 2,000 miles per month
  • own vehicle

Education
  • Associate Degree, Technical Certification, or equivalent combination of education and relevant work experience required.
  • Bachelor's degree in Biomedical Engineering or a related field preferred.

Consultants Eligible Benefits Upon Waiting Period:
  • Medical and Prescription Drug Plans
  • Dental Plan
  • Vision Plan
  • Health Savings Account (for High-Deductible Health Plans)
  • Flexible Spending Accounts (Health, Limited Purpose, Dependent Care, Commuter Parking and Commuter Transit)
  • Supplemental Life Insurance
  • Short Term Disability (coverage varies by state)
  • Long Term Disability
  • Critical Illness, Hospital coverage, Accident Insurance
  • MetLife Legal, MetLife ID Fraud, and MetLife Pet Insurance
  • 401(k)

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritional and branded generic medicines.
Working together, Abbott and Talent Solutions partner to deliver top talent for contingent roles at Abbott, building better and healthier lives. Abbott believes all employees are essential to creating life-changing breakthroughs, performing key duties to create life-changing breakthroughs.
  • Published on 18 Aug 2026, 8:52 PM

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