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Remote Insurance Utilization Review Jobs in Pooler, GA

Prepare and review individual federal and state tax returns with accuracy and efficiency. * Utilize ... Life Insurance: Access life insurance options to safeguard your loved ones. * Supplemental ...

This role is remote and requires travel within the assigned territory. Success Profile: This role ... Medical, dental, vision, life & disability insurance * 401(k) plan with company match * Flexible ...

Showing results 41-49

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 Jul 25, 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 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.

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 are remote insurance utilization review jobs?

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 are the key skills and qualifications needed to thrive as a Remote Insurance Utilization Review Specialist, and why are they important?

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.
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:

Stop Building Someone Else's Dream - Remote Opportunity

AO Garcia Agency

Savannah, GA • Remote

Other

Posted 19 days ago


Job description

If you're putting in full effort but still earning the same paycheck every week... that's a problem.

This opportunity removes the ceiling.

You'll work with clients who have already expressed interest in receiving help. Your role is to guide them through their options and help them get set up.

Why People Make the Switch

  • No income cap
  • No cold calling
  • Work from home
  • Paid based on results, not hours

What is Provided

  • Warm leads
  • Training
  • Ongoing support

You Bring

  • Work ethic
  • Coachability
  • Desire to earn more
 
 
*All interviews will be conducted via Zoom video conferencing.
(Global Elite Empire Consultants is a third-party recruiter, not an insurance agency)
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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