Remote Medical Coder
Fort Worth, TX · On-site +1
$75/hr
Test AI performance against custom-built scenarios and refine tasks based on quality reviews and ... utilization management, patient access, compliance, or related healthcare administrative ...
Fort Worth, TX · On-site +1
$75/hr
Test AI performance against custom-built scenarios and refine tasks based on quality reviews and ... utilization management, patient access, compliance, or related healthcare administrative ...
Fort Worth, TX · On-site +1
$75/hr
Test AI performance against custom-built scenarios and refine tasks based on quality reviews and ... utilization management, patient access, compliance, or related healthcare administrative ...
Senior Manager, Benefits and People Operations (Remote) Department: People Operations Employment ... Partner with brokers and vendors to review utilization, claims, and program performance and provide ...
Senior Manager, Benefits and People Operations (Remote) Department: People Operations Employment ... Partner with brokers and vendors to review utilization, claims, and program performance and provide ...
Fort Worth, TX · Remote
$60 - $65/hr
Clinical Pharmacist - Cardiology / Value-Based Care A remote clinical pharmacist role optimizing ... Review patient medication profiles for cardiology populations -- heart failure, coronary artery ...
New
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Fort Worth, TX · Remote
$60 - $65/hr
Clinical Pharmacist - Cardiology / Value-Based Care A remote clinical pharmacist role optimizing ... Review patient medication profiles for cardiology populations -- heart failure, coronary artery ...
New
Comfortable owning engagement financials under a fixed-fee structure: capacity and utilization ... Able to run a budget and progress review with a client sponsor and de-escalate a difficult ...
Comfortable owning engagement financials under a fixed-fee structure: capacity and utilization ... Able to run a budget and progress review with a client sponsor and de-escalate a difficult ...
Partner with brokers and vendors to review utilization, claims, and program performance and provide recommendations for continuous improvement. * Support budget planning by providing benefits data ...
Partner with brokers and vendors to review utilization, claims, and program performance and provide recommendations for continuous improvement. * Support budget planning by providing benefits data ...
Partner with brokers and vendors to review utilization, claims, and program performance and provide recommendations for continuous improvement. * Support budget planning by providing benefits data ...
Quick apply
Partner with brokers and vendors to review utilization, claims, and program performance and provide recommendations for continuous improvement. * Support budget planning by providing benefits data ...
Fort Worth, TX · Remote
$80K - $140K/yr
Engage in case consultations and peer review meetings to share knowledge, improve treatment ... Experience with teletherapy platforms and previous utilization of electronic health record (EHR ...
Fort Worth, TX · Remote
$80K - $140K/yr
Engage in case consultations and peer review meetings to share knowledge, improve treatment ... Experience with teletherapy platforms and previous utilization of electronic health record (EHR ...
Fort Worth, TX · Remote
$80K - $140K/yr
Engage in case consultations and peer review meetings to share knowledge, improve treatment ... Experience with teletherapy platforms and previous utilization of electronic health record (EHR ...
Fort Worth, TX · Remote
$80K - $140K/yr
Engage in case consultations and peer review meetings to share knowledge, improve treatment ... Experience with teletherapy platforms and previous utilization of electronic health record (EHR ...
Dallas, TX · On-site +1
Location: Remote. Company Overview MasTec Renewables, comprised of Wanzek Construction, IEA ... Oversee equipment records management and implement regular reviews to assess performance ...
Dallas, TX · On-site +1
Location: Remote. Company Overview MasTec Renewables, comprised of Wanzek Construction, IEA ... Oversee equipment records management and implement regular reviews to assess performance ...
Dallas, TX · On-site +1
Location: Remote. Company Overview MasTec Renewables, comprised of Wanzek Construction, IEA ... Oversee equipment records management and implement regular reviews to assess performance ...
Dallas, TX · On-site +1
Location: Remote. Company Overview MasTec Renewables, comprised of Wanzek Construction, IEA ... Oversee equipment records management and implement regular reviews to assess performance ...
Fort Worth, TX · Remote
$119K - $163K/yr
Review benefit premium rate contribution, claims and utilization data on an annual basis; analyze and interpret data for trends, improvements, and efficiencies * Coordinate and lead the 401(k) ...
Fort Worth, TX · Remote
$119K - $163K/yr
Review benefit premium rate contribution, claims and utilization data on an annual basis; analyze and interpret data for trends, improvements, and efficiencies * Coordinate and lead the 401(k) ...
In this remote role, you will be responsible for conducting Medicare Annual Wellness Visits (AWVs ... Virtually reviewing and updating patient medical histories, including medication lists ...
New
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In this remote role, you will be responsible for conducting Medicare Annual Wellness Visits (AWVs ... Virtually reviewing and updating patient medical histories, including medication lists ...
New
Fort Worth, TX · On-site +1
$42/hr
In this remote role, you will be responsible for conducting Medicare Annual Wellness Visits (AWVs ... Virtually reviewing and updating patient medical histories, including medication lists ...
New
Fort Worth, TX · On-site +1
$42/hr
In this remote role, you will be responsible for conducting Medicare Annual Wellness Visits (AWVs ... Virtually reviewing and updating patient medical histories, including medication lists ...
New
$19.13 - $22.99
2% of jobs
$22.99 - $26.86
9% of jobs
$29.51 is the 25th percentile. Wages below this are outliers.
$26.86 - $30.73
21% of jobs
The median wage is $33.86 / hr.
$30.73 - $34.60
23% of jobs
$34.60 - $38.46
13% of jobs
$41.47 is the 75th percentile. Wages above this are outliers.
$38.46 - $42.33
10% of jobs
$42.33 - $46.20
8% of jobs
$46.20 - $50.07
5% of jobs
$50.07 - $53.94
5% of jobs
$53.94 - $57.80
2% of jobs
$57.80 - $61.67
2% of jobs
$19
$37
$61
A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.
A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.
To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.
The most popular types of Utilization Review jobs in Decatur, TX are:
The top searched job categories for Remote Utilization Review jobs in Decatur, TX are:
Cities near Decatur, TX with the most Remote Utilization Review job openings:

$75/hr
Contractor
Medical, Dental, Vision, Life, Retirement, PTO
Posted 10 days ago
Sourced by ZipRecruiter
At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless. Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.
Recruiting and staffing services
1,001 - 5,000 Employees
Hanover, MA, US