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Remote Insurance Utilization Review Jobs in Pooler, GA

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Remote Insurance Utilization Review information

See Pooler, GA salary details

$19

$38

$62

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

As of Aug 23, 2026, the average hourly pay for remote insurance utilization review in Pooler, GA is $38.41, according to ZipRecruiter salary data. Most workers in this role earn between $30.34 and $44.13 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 Pooler, GA?

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

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

The top searched job categories for Remote Insurance Utilization Review jobs in Pooler, GA are:

What cities near Pooler, GA are hiring for Remote Insurance Utilization Review jobs?

Cities near Pooler, GA with the most Remote Insurance Utilization Review job openings:

Remote Insurance Utilization Review jobs near you

Senior Corporate Accountant

SGA Dental Partners

Richmond Hill, GA • On-site, Remote

$85K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

SGA Dental Partners rating

5.3

Company rating: 5.3 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

We are hiring a Senior Corporate Accountant at SGA Dental Partners!
SGA Dental Partners is at a defining moment - having successfully combined three established dental platforms into a single, unified enterprise now operating on an institutional scale. The Senior Corporate Accountant will be a core member of the corporate accounting team, contributing to the financial reporting, technical accounting, and control environment required of a best-in-class, growth-oriented organization. This is a role for someone who wants meaningful technical work, broad exposure, and the opportunity to grow alongside a company in transformation. This role is part of a newly formed corporate accounting team being built to support the combined organization. The right candidate will be energized by the fact that processes are being built, policies are being written, and legacy systems are still being integrated versus the infrastructure present in a lower growth, more mature organization.
Key Responsibilities:
Financial Reporting
  • Support the company's transition toward institutional-grade financial reporting standards and accounting policies consistent with a best-in-class enterprise.
  • Partner with external auditors and advisors to support audit readiness, technical accounting assessments, and implementation of new standards.
  • Support accounting diligence for acquisitions in a high-volume roll-up environment.
  • Ensure consistency in financial reporting across legacy and newly acquired entities.

Accounting Operations & Reporting
  • Standardize and document best practice accounting policies and procedures.
  • Support the monthly close process, including journal entries, account reconciliations, and variance analysis across the consolidated organization.

Internal Controls, Audit & Compliance
  • Design, implement, and maintain strong internal controls consistent with the rigor expected in a scaled, audit-ready environment
  • Assist with external auditors and advisors.
  • Support annual audits and quarterly reviews with increasing rigor aligned to best-in-class financial reporting standards.
  • Proactively identify and mitigate accounting and reporting risks.

Systems, Data & Infrastructure
  • Identify and support automation of manual accounting processes to enhance efficiency and data integrity.
  • Partner with FP&A and IT to ensure alignment between accounting, reporting, and operational systems.

Strategic Partnership
  • Partner across business functions to drive efficiency and reporting consistency throughout the organization.
  • Provide technical accounting guidance on complex transactions and strategic initiatives.
  • Work cross-functionally with finance, operations, and IT teams across a newly combined organization to support consistency and continuous improvement.

Knowledge, Skills, & Abilities:
  • Bachelor's degree in Accounting or Finance required.
  • CPA required
  • 5+ years of relevant experience
  • Experience in a corporate accounting function at a company with revenues exceeding $300M, or equivalent scale and complexity.
  • Big 4 or large regional public accounting firm experience required.
  • Prior experience in a public company corporate accounting role preferred.
  • Experience in a private equity-backed, high-growth environment preferred.
  • Experience in healthcare, dental, or multi-site services preferred.
  • Proven ability to work in a fast-paced, acquisitive environment.
  • Intellectual curiosity and comfort operating in an environment where new processes need to be built.
  • Exceptional problem-solving and change management capabilities.
  • Experience leveraging technology to improve both transaction processing and technical accounting workflows.

Technical Expertise:
  • Strong working knowledge of GAAP, with demonstrated ability to research, implement, and document complex accounting standards in a multi-entity environment

  • Experience with several of the following technical areas (candidates need not have experience in all):
    • ASC 606 (revenue recognition)
    • ASC 805 (business combinations)
    • ASC 842 (leases)
    • ASC 350/360 (goodwill, intangibles, and long-lived asset impairment)
    • ASC 450 (contingencies and litigation reserves)
    • ASC 420 (exit and disposal cost obligations)
    • ASC 310/326 (accounts receivable allowances, including CECL methodology)
    • ASC 740 (income tax accounting)

  • Demonstrated experience in process improvement in areas such as accounting policy, monthly close process, reporting, technology utilization, etc.

Benefits We Offer:
  • Paid Holidays and Paid Time Off (PTO)
  • 401(k) Retirement Plan Health and Vision Insurance
  • Employer-Paid Dental Insurance, Life Insurance, Care.com Membership & Employee Assistance Program
  • Supplemental Coverage (Disability, Critical Illness, Accident)
  • Career Growth and Development Opportunities

Pay Range: $85,000 - $100,000
This position is eligible for remote work in the following states: Alabama, Arizona, California, Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Mexico, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Wisconsin.
Applicants must be authorized to work in the United States without the need for current or future visa sponsorship.
In hometown communities, SGA Dental Partners is a beacon of positive energy, delivering the highest level of clinical excellence and patient-centered care. Apply today to join us in making a difference!
In order to maintain a high level of clinical excellence, SGA Dental Partners and dental practices affiliated with SGA maintain a drug free and alcohol free workplace. All new hires are required to pass a full panel drug screening as a condition of employment.
SGA Dental Partners is an Equal Opportunity Employer and values diversity at every level of our team. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

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