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Remote Rn Insurance Jobs in Plymouth, MA (NOW HIRING)

Pharmacist Consultant

Brockton, MA · On-site +1

$96K - $113K/yr

Lead care teams providing value to prescribers and nursing staff * Navigate cost containment ... The Pharmacist Consultant is a remote role and will be responsible for covering the following ...

Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

Showing results 41-51

Remote Rn Insurance information

See Plymouth, MA salary details

$8

$45

$78

How much do remote rn insurance jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote rn insurance in Plymouth, MA is $45.97, according to ZipRecruiter salary data. Most workers in this role earn between $34.28 and $54.42 per hour, depending on experience, location, and employer.

What is a Remote RN Insurance nurse?

A Remote RN Insurance nurse is a registered nurse who works with insurance companies to review medical claims, assess patient care needs, and help determine the medical necessity of treatments—often from a home office. Their responsibilities may include case management, utilization review, and providing telephonic support to patients or healthcare providers. This role requires strong clinical experience, excellent communication skills, and the ability to analyze medical records and insurance policies. Working remotely, these nurses help ensure patients receive appropriate care while also managing healthcare costs for insurance providers.

What are the key skills and qualifications needed to thrive as a Remote RN Insurance nurse?

To thrive as a Remote RN Insurance Nurse, you need an active RN license, a strong grasp of clinical practice, and experience in case management or utilization review. Familiarity with claims processing systems, telehealth platforms, and knowledge of medical coding (ICD-10, CPT) are typically required, along with certifications like CCM or URAC being advantageous. Exceptional communication, critical thinking, and time management skills help you collaborate with patients, providers, and insurance teams effectively. These competencies ensure accurate assessments, efficient case handling, and high-quality service in a remote, compliance-driven environment.

What are some common challenges faced by Remote RN Insurance professionals, and how can they be managed effectively?

Remote RN Insurance professionals often encounter challenges such as managing a high volume of case reviews, maintaining clear communication with both patients and insurance teams, and staying updated with changing insurance policies and regulations. To manage these challenges, it’s important to develop strong organizational skills, utilize effective digital communication tools, and participate in ongoing training. Engaging with a supportive team and seeking mentorship within the organization can also help in adapting to the remote environment and ensuring quality outcomes.

What is the difference between Remote Rn Insurance vs Remote Rn Case Manager?

AspectRemote Rn InsuranceRemote Rn Case Manager
CertificationsRN license, insurance knowledgeRN license, case management certification
Work EnvironmentInsurance companies, telehealthHealthcare facilities, telehealth
Employer & IndustryInsurance providers, telehealth companiesHospitals, insurance companies, healthcare agencies

Remote Rn Insurance focuses on assessing insurance claims and policy coverage, while Remote Rn Case Managers coordinate patient care plans. Both roles require RN licensure and involve telehealth work, but their primary responsibilities and employer settings differ.

What are popular job titles related to Remote Rn Insurance jobs in Plymouth, MA?

For Remote Rn Insurance jobs in Plymouth, MA, the most frequently searched job titles are:

What job categories do people searching Remote Rn Insurance jobs in Plymouth, MA look for?

The top searched job categories for Remote Rn Insurance jobs in Plymouth, MA are:

What cities near Plymouth, MA are hiring for Remote Rn Insurance jobs?

Cities near Plymouth, MA with the most Remote Rn Insurance job openings:

Infographic showing various Remote Rn Insurance job openings in Plymouth, MA as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 23% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $95,610 per year, or $46 per hour.

Special Investigations Unit Pre Pay Coding Consultant

UnitedHealth Group

Plymouth, MA • Remote

Full-time

Retirement

Re-posted 3 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

192nd of 898 rated healthcare providers


Job description

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full-time, Monday - Friday. Employees are required to work our normal business. It may be necessary, given business need, to work occasionally overtime or weekends. 

We offer weeks of paid on-the-job training. The hours during training will be 8:00am to 5:00pm CST, Monday - Friday.  Training will be conducted virtually from your home.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Utilize resources and reference materials (e.g., on-line sources, manuals) to identify appropriate medical codes and reference code applicability, rules and guidelines
  • Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes
  • Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes
  • Utilize medical coding software programs or reference materials to identify appropriate codes
  • Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations
  • Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters)
  • Provide information or respond to questions from medical coding quality audits
  • Educate and mentor others to improve medical coding quality
  • Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
  • Attain and/or maintain relevant professional certifications and continuing education seminars as required
  • All other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma/GED 
  • Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA
  • 3 years of CPT coding experience
  • Recent professional coding/auditing experience within the last 1-2 years
  • Intermediate level of proficiency with PC based software
  • Ability to work our normal business hours of 8:00am - 5:00pm, Monday - Friday. It may be necessary, given the business need, to work occasionally overtime or weekends
  • Must be 18 years of age or older

Preferred Qualifications:

  • AHFI or CFE certification
  • Licensed Registered Nurse (RN)
  • Licensed Practical Nurse (LPN)
  • Experience in a production environment
  • Experience with one or more of the following: 
    • Claim processing 
    • Provider demographic information 
    • Insurance billing practices 

Soft Skills:

  • Ability to prioritize and manage multiple tasks
  • Proven ability to work in a team setting
  • Excellent oral and written communication skills and presentation skills
  • Critical thinking, problem solving and analytical skills

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $24 to $43 annually based on full-time employment. We comply with all minimum wage laws as applicable. 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN


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