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Remote Insurance Utilization Review Jobs in Memphis, TN

Aston Carter

Remote Medical Coder

Memphis, TN · On-site +1

$75/hr

Test AI performance against custom-built scenarios and refine tasks based on quality reviews and ... utilization management, patient access, compliance, or related healthcare administrative ...

RemX

Be Seen First

Remote Medical Benefits Rep| $17/hr

Memphis, TN · Remote

$17/hr

Review and process prior authorization requests for medications, services, and procedures. * Verify ... Partner with physicians, pharmacies, and insurance companies to obtain required documentation.

Luck Grove Telecom Inc

OSP Engineer Remote

Memphis, TN · Remote

$24 - $30/hr

Review, interpret, and implement client change requests and construction redlines into updated ... Medical, Dental and Vision Insurance. * Paid Time Off (PTO) and company holidays. * Referral ...

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All JobsInsurance Utilization Review JobsRemote Insurance Utilization Review JobsRemote Insurance Utilization Review Jobs in Memphis, TN

Remote Insurance Utilization Review information

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$20

$41

$67

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

As of Aug 29, 2026, the average hourly pay for remote insurance utilization review in Memphis, TN is $41.08, according to ZipRecruiter salary data. Most workers in this role earn between $32.45 and $47.16 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 Memphis, TN?

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

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

The top searched job categories for Remote Insurance Utilization Review jobs in Memphis, TN are:

What cities near Memphis, TN are hiring for Remote Insurance Utilization Review jobs?

Cities near Memphis, TN 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 Memphis, TN 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 $85,437 per year, or $41.1 per hour.

Remote Medical Coder

Memphis, TN • On-site, Remote

Aston Carter
Recruiting and Staffing Services • 1 - 5K employees
Learn more about Aston Carterexternal

$75/hr

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Remote Medical Coder
Job Description
Assess and validate AI-generated content related to healthcare operations, ensuring responses are accurate, practical, and aligned with industry expectations. Provide well-written, expert responses to operational healthcare scenarios for use in model training and benchmarking. Analyze, score, and compare model outputs to support ongoing AI development and performance improvements.
Responsibilities
  • Identify inaccuracies, inconsistencies, or unclear recommendations within model-generated content and provide actionable feedback for improvement.
  • Create authentic healthcare operations use cases based on professional experience, including scenario design, supporting documentation, input datasets, and evaluation criteria.
  • Test AI performance against custom-built scenarios and refine tasks based on quality reviews and stakeholder feedback.
  • Adhere to project standards, documentation guidelines, and submission requirements with a high degree of accuracy and attention to detail.
  • Consistently deliver high-quality work while meeting productivity expectations throughout the duration of the engagement.

Essential Skills
  • Experience in medical billing, medical coding, and healthcare operations.
  • Proficiency in using artificial intelligence and large language models.
  • Strong written communication skills.
  • Bachelor's degree is required.
  • Coding certification (CPC, CCS, CCA) is preferred.

Additional Skills & Qualifications
  • Professional experience supporting healthcare operations, revenue cycle functions, health information management, utilization management, patient access, compliance, or related healthcare administrative environments.
  • Healthcare credentials such as CPC, CCS, RHIT, RHIA, or similar are beneficial but not required.
  • Exceptional written communication skills with the ability to convey technical or operational healthcare concepts in a clear, concise manner.
  • Recent direct involvement in day-to-day healthcare operations work, with experience operating as an individual contributor.
  • Strong attention to detail with the ability to interpret process documentation, apply feedback effectively, and maintain quality throughout iterative review cycles.
  • Comfortable using common workplace technologies, including cloud-based collaboration platforms, document management tools, software installations, and routine file-sharing and conversion processes.
  • Able to work independently in a remote setting while managing priorities, deadlines, and deliverables with minimal oversight.
  • Familiarity with generative AI technologies, large language models, and the evolving artificial intelligence landscape is preferred.

Work Environment
This position is 100% remote with flexible working hours. The role requires availability to support a project-based engagement averaging 30 to 40 hours per week over a 12-week period, with the possibility of extension. Must have citizenship and reside in a U.S. State to be eligible.
Job Type & Location
This is a Contract position based out of Memphis, TN.
Pay and Benefits
The pay range for this position is $75.00 - $75.00/hr.
Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Sep 8, 2026.
About Aston Carter
Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® Platinum Award winner for both client and talent service.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.
San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.
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About Aston Carter

Sourced by ZipRecruiter

At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless. Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Hanover, MA, US

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