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Remote Insurance Utilization Review Jobs in Jourdanton, TX

RemX

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REMOTE Medical Insurance Verification Specialist $17/hr

San Antonio, TX · Remote

$17/hr

... growing remote team. If you have a passion for helping others and thrive in a fast-paced ... Gathering and reviewing patient billing and medical information. * Operating according to the ...

Infinite Wise Solutions

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Financial Retirement Planning Professional - Remote

San Antonio, TX · Remote

$1.0K - $250K/yr

Remote Insurance and Retirement Planning Advisor Help Families Retire with Confidence. Build a ... Building long-term relationships through annual reviews and ongoing guidance * Growing your ...

Healthpilot Technologies LLC

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Independent Medicare Agent (Remote)

San Antonio, TX · Remote

$104K - $136K/yr

AI reviews every plan, highlights what fits, and saves you hours of research * CRM, quoting ... Active Health Insurance License in your resident state * AHIP 2026 certification (or willing to ...

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All JobsInsurance Utilization Review JobsRemote Insurance Utilization Review JobsRemote Insurance Utilization Review Jobs in Jourdanton, TX

Remote Insurance Utilization Review information

See Jourdanton, TX salary details

$18

$36

$58

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

As of Aug 21, 2026, the average hourly pay for remote insurance utilization review in Jourdanton, TX is $36.08, according to ZipRecruiter salary data. Most workers in this role earn between $28.51 and $41.44 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 job categories do people searching Remote Insurance Utilization Review jobs in Jourdanton, TX look for?

The top searched job categories for Remote Insurance Utilization Review jobs in Jourdanton, TX are:

What cities near Jourdanton, TX are hiring for Remote Insurance Utilization Review jobs?

Cities near Jourdanton, TX with the most Remote Insurance Utilization Review job openings:

Remote Insurance Utilization Review jobs near you

Remote Life & Health Insurance Agent Licensed or Unlicensed | Training Provided | Flexible Schedule

The Corham Agency | Financial Advisory

San Antonio, TX • Remote

$50K - $120K/yr

Other

Re-posted 13 days ago

Job description

The Corham Agency | Financial Advisory is recruiting remote Insurance Agents to deliver consultative life and health insurance sales and client service, with this posting targeted to candidates in San Antonio, Texas. Candidates with active licenses and those new to the industry are encouraged to apply; comprehensive licensing support, structured onboarding, and ongoing mentorship are provided.

What we offer:

  • 100% remote work with a flexible full-time or part-time schedule
  • Structured onboarding, licensing guidance, and continued mentorship
  • Access to a range of life and health insurance products and established carrier relationships
  • Proven sales systems, marketing support, and performance coaching
  • 100% commission compensation structure with uncapped earning potential and performance-based bonuses
  • Clear pathways for advancement into leadership roles and potential agency ownership

Position summary:

  • Conduct consultative client conversations to assess life, health, and financial protection needs.
  • Clearly and ethically explain product options and recommend tailored insurance solutions.
  • Guide clients through applications, underwriting, policy placement, onboarding, and renewals.
  • Maintain long-term client relationships through proactive follow-up and periodic outreach.
  • Respond to client inquiries via phone, email, and virtual meetings in a timely, professional manner.
  • Participate in team trainings, coaching sessions, and performance reviews.

Minimum qualifications:

  • Strong verbal and written communication skills with a professional interpersonal demeanor
  • Self-motivated, disciplined, and capable of working independently in a remote environment
  • Coachable attitude with a willingness to learn sales, service, and compliance processes
  • Organizational skills and attention to detail; ability to manage multiple client relationships concurrently
  • Reliable internet connection and phone access for remote work
  • Licensed life and/or health agents are welcome; unlicensed candidates must be willing to obtain required licenses (support provided)

Compensation and progression:

  • 100% commission compensation structure with uncapped earning potential and performance-based bonuses
  • Opportunities for advancement into leadership roles and potential agency ownership