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Remote Peer Review Specialist Jobs (NOW HIRING)

Emory Healthcare

Utilization Review Specialist

Atlanta, GA · Remote

$47.40 - $54.95/hr

The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough ... Work Type: This position is a remote position outside traditional office, often from home or ...

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Charlie Health

Utilization Review Specialist

Nashville, TN · Remote

$62K - $70K/yr

Completes peer to peer reviews with insurance MDs to advocate for treatment post first line denial ... REMOTE Please note that this role is not available to candidates in Alaska, Maine, Washington DC ...

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Remote Peer Review Specialist information

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How much do remote peer review specialist jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for remote peer review specialist in the United States is $20.41, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $22.36 per hour, depending on experience, location, and employer.

What is the difference between Remote Peer Review Specialist vs Remote Medical Reviewer?

AspectRemote Peer Review SpecialistRemote Medical Reviewer
CredentialsTypically requires healthcare-related certifications, such as RN, MD, or relevant licensureUsually requires medical licenses, certifications, and clinical experience
Work EnvironmentRemote, often in healthcare or insurance companiesRemote, primarily in healthcare, insurance, or legal settings
Industry UsageUsed in healthcare, insurance, and research sectorsCommon in healthcare, legal, and insurance industries
Primary FocusEvaluating peer-reviewed medical content or researchReviewing medical records or claims for accuracy and compliance

The Remote Peer Review Specialist and Remote Medical Reviewer roles share similarities in healthcare credentials and remote work settings. However, the Peer Review Specialist focuses on evaluating medical research or content, while the Medical Reviewer primarily assesses medical records or insurance claims. Both roles require clinical knowledge but serve different functions within healthcare and insurance industries.

What are popular job titles related to Remote Peer Review Specialist jobs?

For Remote Peer Review Specialist jobs, the most frequently searched job titles are:

Infographic showing various Remote Peer Review Specialist job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $42,452 per year, or $20.4 per hour.

ABA Utilization Review (UR) Specialist

Skokie, IL • Remote

Spectrum Billing Solutions
Finance and Insurance • 51 - 200 employees
Learn more about Spectrum Billing Solutionsexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 19 days ago

Job description

​
Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner.
We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his or her knowledge and skills to review clinical information and obtain initial and continuing authorizations for ABA and related services. The ideal candidate is passionate, motivated, detail-oriented and interested in working in a cohesive and rewarding environment.
This is a fully remote or office/home hybrid position.
Your Responsibilities:
  • Review patient admission and clinical information to ensure medical necessity and compliance of utilization review guidelines.
  • Obtain initial and continuing authorization for treatment services.
  • Manage authorization denials including referral for peer review.
  • Document and record all necessary information.
  • Monitor and track new and ongoing authorization cases.
  • Collaborate and communicate with clinical staff to ensure necessary information is obtained and timely reviews are performed.
  • Assist external clients in understanding payer requirements for authorizations.
  • Participate in team meetings.
  • Maintain confidentiality of patient information and adhere to HIPAA regulations.
What we offer you:
  • Flexible work environment 
  • Competitive Salary
  • A close-knit team of talented and skilled individuals.
  • Growth opportunities 
  • Benefits – Medical, Dental, Vision
  • Flexible Paid Time Off
  • 401K with Company match
  • Supplemental Benefits
Qualifications:
  • 3-5 years of related ABA and/or Behavioral Health experience.
  • Bachelor’s or master’s degree preferred.
  • Superior written and oral communication skills
  • Attention to detail to ensure necessary information is captured and properly documented.
  • Ability to work independently and within a team.
  • Ability to multi-task, prioritize and meet expected deadlines.
  • Solid understanding of insurance benefits and coverages.
  • Strong computer skills (Word, Excel, billing software).
  • Understanding of mental and behavioral health treatment services.
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