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Remote Utilization Review Manager Jobs in Corydon, IN

vitu

Account Executive (Remote: Kentucky)

Louisville, KY · Remote

$55K - $58K/yr

Regular review and action of all utilization dashboards * Ensure State compliance in all related ... Managing Administrative duties as delegated by DMV Minimum Qualifications and Experience * DMV OR ...

New

Abilis Health Plan

Chief Medical Officer

Louisville, KY · On-site +1

Oversee utilization management, including prior authorization criteria, medical necessity determinations, concurrent review, and appeals, ensuring evidence based and compliant decision making. * Lead ...

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Remote Utilization Review Manager information

See Corydon, IN salary details

$34.8K

$81.2K

$149.4K

How much do remote utilization review manager jobs pay per year?

As of Sep 5, 2026, the average yearly pay for remote utilization review manager in Corydon, IN is $81,184.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,100.00 and $97,700.00 per year, depending on experience, location, and employer.

What is a remote utilization review manager?

A Remote Utilization Review Manager is a healthcare professional responsible for overseeing the review of medical services and determining the necessity, appropriateness, and efficiency of those services from a remote location. They ensure that healthcare providers comply with guidelines and that patients receive appropriate care without unnecessary procedures. These managers work with clinical teams, insurance companies, and regulatory agencies to optimize patient outcomes and manage healthcare costs. Working remotely allows them to perform these duties using digital health records and telecommunication tools.

What are the key skills and qualifications needed to thrive as a remote utilization review manager?

To thrive as a Remote Utilization Review Manager, you need expertise in healthcare management, case review, and regulatory compliance, typically supported by a nursing degree (RN or BSN) and relevant certifications such as CCM or URAC. Familiarity with utilization management software, electronic health records (EHRs), and payer systems is essential. Strong analytical thinking, attention to detail, and excellent communication skills help navigate complex cases and collaborate with clinical teams and insurers. These skills ensure effective resource utilization, regulatory adherence, and optimal patient outcomes in a remote healthcare environment.

What are some common challenges faced by a remote utilization review manager, and how can they be addressed?

A Remote Utilization Review Manager often encounters challenges such as maintaining effective communication with clinical teams, ensuring timely and accurate reviews, and staying updated with changing regulations and payer requirements. To address these, it's important to leverage secure collaborative platforms, establish clear workflows, and participate in ongoing training. Building strong relationships with team members and regularly reviewing protocols also help in overcoming remote work hurdles and ensuring compliance and efficiency.

What is the difference between Remote Utilization Review Manager vs Remote Utilization Review Nurse?

AspectRemote Utilization Review ManagerRemote Utilization Review Nurse
CredentialsTypically requires a nursing license, certifications like URAC or AAPC, and management experienceLicensed Registered Nurse (RN) with utilization review certification often preferred
Work EnvironmentOversees review teams, manages processes, and ensures compliance remotelyPerforms case reviews, assesses medical necessity, and documents findings remotely
Employer & Industry UsageHealth insurance companies, third-party administrators, healthcare organizations

The Remote Utilization Review Manager focuses on overseeing review teams and managing processes, while the Remote Utilization Review Nurse conducts case assessments and medical necessity reviews. Both roles require nursing credentials and are integral to healthcare utilization management, but differ in responsibilities and leadership levels.

What are popular job titles related to Remote Utilization Review Manager jobs in Corydon, IN?

For Remote Utilization Review Manager jobs in Corydon, IN, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Manager jobs in Corydon, IN look for?

The top searched job categories for Remote Utilization Review Manager jobs in Corydon, IN are:

What cities near Corydon, IN are hiring for Remote Utilization Review Manager jobs?

Cities near Corydon, IN with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Manager, Accounts Receivable- Remote

Lifepoint Health

Louisville, KY • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

LifePoint Health rating

5.9

Company rating: 5.9 out of 10

Based on 273 frontline employees who took The Breakroom Quiz

765th of 898 rated healthcare providers

Job description


Schedule: Days: M-F
Job Location Type: [Remote]
Your experience matters
At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier ®.
More about our team
The Manager, Accounts Receivable (AR) is responsible for providing leadership and oversight of accounts receivable operations within the Centralized Business Office (CBO) for behavioral health services. This role ensures timely, accurate third-party billing, payment posting, and follow-up activities across the operating system, clearinghouse, and denial management platforms. The Manager oversees AR workflows to drive optimal reimbursement performance, including claim resolution, denial prevention and appeals, and accurate adjustment processing. This position plays a key role in managing daily AR operations, monitoring performance metrics, and ensuring compliance with payer requirements, while supporting a high-performing CBO servicing multiple behavioral health facilities.
How you'll contribute
A Manager, Accounts Receivablewho excels in this role:
  • Ensure staff accurately perform billing, collections, and accounts receivable follow-up for multiple facilities across all payer types.
  • Partner closely on accounts receivable strategy, performance, and revenue cycle initiatives.
  • Maintain financial integrity of daily operations through continuous monitoring of AR performance, productivity metrics, and workflow efficiency.
  • Provide professional, operational, and technical guidance to AR staff; address escalated issues related to payer responses, account balances, and patient or family inquiries.
  • Serve as administrator for payer portals and website access as needed to support staff efficiency and security.
  • Ensure accurate capture, posting, reconciliation, and maintenance of all financial transactions, adjustments, and balances in alignment with payer mix and acuity across facilities.
  • Communicate effectively with Utilization Review departments to ensure timely and accurate exchange of information impacting billing, authorizations, and denials.
  • Assign and manage staff work queues through billing software; monitor progress and ensure timely completion of assigned tasks.
  • Maintain ongoing communication with facility Business Office Managers to address facility-specific AR issues and operational needs.
  • Develop, implement, monitor, and evaluate AR quality assurance processes to ensure compliance with applicable laws, regulations, payer requirements, and internal policies.
  • Recommend, develop, and update accounts receivable policies and procedures to support operational consistency and best practices.
  • Review and approve all adjustments and refunds to ensure accuracy, compliance, and appropriate documentation.
  • Attend, prepare for, and actively participate in weekly accounts receivable review calls.
  • Support month-end A/R close activities, including reconciliation, reporting, and variance resolution.
  • Participate in the hiring, training, supervision, and performance evaluation of assigned accounts receivable staff.
  • Conduct routine audits of collection documentation and notes to assess effectiveness, identify training needs, and address performance or corrective actions as appropriate.
  • Always exhibit the company's core values of champion patient care, do the right thing, embrace individuality, act with kindness, and making a difference together.
  • Other duties as assigned.

Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
  • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
  • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
  • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
  • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
  • Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for
Applicants should have a Associate's degree in business administration, healthcare administration, or related field from an accredited school required with 4 years of experience in medical billing/accounts receivable management required and 1 year of experience in behavioral healthcare required.
EEOC Statement
"Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
You must be authorized to work in the United States without employer sponsorship.
About Us
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
About the Team
We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

What LifePoint Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About LifePoint Health

Sourced by ZipRecruiter

Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Brentwood, TN, US

Year founded

1999

Social media

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