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Remote Insurance Utilization Review Jobs in Rochester, NY

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Remote Insurance Utilization Review information

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$21

$41

$68

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

As of Sep 10, 2026, the average hourly pay for remote insurance utilization review in Rochester, NY is $41.72, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 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 the most commonly searched types of Insurance Utilization Review jobs in Rochester, NY?

The most popular types of Insurance Utilization Review jobs in Rochester, NY are:

What are popular job titles related to Remote Insurance Utilization Review jobs in Rochester, NY?

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

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

The top searched job categories for Remote Insurance Utilization Review jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Remote Insurance Utilization Review jobs?

Cities near Rochester, NY 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 Rochester, NY as of August 2026, with employment types broken down into 93% Full Time, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $86,774 per year, or $41.7 per hour.

Accounting Specialist - East Coast Based (Remote)

Penfield, NY • Remote

Vino del Sol
See more jobs at Vino del Solexternal

$20.25 - $27.25/hr

Full-time

Medical, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Accounting Specialist – Wine Import Business
East Coast Based | Fully Remote
We are a 20+ year wine import company seeking an experienced Accounting Specialist to oversee our day-to-day accounting and financial operations. This is a hands-on role working closely with our operations and accounting team.
Expert-level QuickBooks experience is the most important requirement for this position. Experience with wine importing, distribution, beverage alcohol, or a similar inventory-based business is highly preferred.
Key ResponsibilitiesALL Serve as the company's QuickBooks expert, including imports, journal entries, reconciliations, mapping, maintenance, and troubleshooting.
Oversee and review the work of team members handling AR, AP, order entry, invoicing, compliance, billbacks, and logistics accounting.
Manage banking activity, reconciliations, cash reporting, fraud controls, and payment approvals.
Oversee accounts receivable and collections and review distributor/customer accounts.
Review accounts payable, vendor invoices, freight bills, and weekly payment schedules.
Manage accounting related to inventory, freight, customs, warehousing, and logistics, including proper allocations and journal entries.
Prepare and analyze financial reporting, including P&L, Balance Sheet, AP, cash, open balances, sales, and Budget vs. Actuals.
Assist with monthly and quarterly closes, ensuring supporting schedules and reconciliations are accurate and complete.
Process and review payroll entries, 401(k) reporting, accruals, and PTO tracking.
Assist with annual budgeting, forecasts, and year-end reporting.
Coordinate with outside accountants on tax reporting, 1099s, 1042s, and other annual filings.
Assist with Board of Directors financial reporting and supporting schedules.
Oversee various insurance renewals, audits, and annual business reporting requirements.
Help develop profitability reporting by brand and other management analysis.
Continuously improve and document accounting procedures, controls, checklists, and training materials.
Human Resources
Qualifications
Expert-level QuickBooks experience required.
Strong bookkeeping/accounting background with experience through the financial close.
Controller, Assistant Controller, Senior Bookkeeper, or Accounting Manager experience preferred.
Strong understanding of AP, AR, bank reconciliations, journal entries, accruals, payroll accounting, and financial statements.
Advanced Excel skills and comfort working with data imports and large spreadsheets.
Extremely organized and detail-oriented with the ability to oversee multiple recurring deadlines.
Comfortable working in a hands-on environment and collaborating with a small team.
Experience with wine, beverage alcohol, importing/distribution, inventory, logistics, or consumer products is a significant plus.
Must be based on the East Coast and able to work during Eastern Time business hours.
About the Role
This position is ideal for someone who enjoys being both hands-on in QuickBooks and responsible for the accuracy of the overall accounting function. We are looking for someone who can keep the books clean, ensure deadlines are met, identify issues before they become problems, and provide management with accurate and useful financial information.
To apply: Please submit your resume along with a brief description of your QuickBooks experience and any experience you have in the wine, beverage, importing, distribution, or inventory-based industries.
Benefits: We provide high industry compensation for excellent candidates, health insurance, stock options, 401k; and being a wine business, lots of fun benefits. We would like the person to have at least 5-7 years experience and an accounting or finance degree.
Job category: Finance and Accounting

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