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Utilization Management Assistant Jobs in Florida

Act as liaison between managed care organizations and the facility professional clinical staff ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...

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Utilization Management Assistant information

See Florida salary details

$21.7K

$36.2K

$51.9K

How much do utilization management assistant jobs pay per year?

As of Jun 24, 2026, the average yearly pay for utilization management assistant in Florida is $36,166.00, according to ZipRecruiter salary data. Most workers in this role earn between $31,400.00 and $36,200.00 per year, depending on experience, location, and employer.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) role is often considered a good entry-level job in healthcare, as it provides foundational skills in administrative tasks, patient communication, and medical record management. It typically requires minimal prior experience and can serve as a stepping stone to more advanced healthcare positions or certifications.

What are the key skills and qualifications needed to thrive as a Utilization Management Assistant, and why are they important?

To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.

What jobs pay 2000 a day?

Jobs that can pay around $2,000 a day typically include specialized roles such as surgeons, anesthesiologists, corporate lawyers, or high-level consultants, often requiring advanced degrees, certifications, and significant experience. Freelance or contract work in fields like software development, project management, or executive consulting can also reach this level with the right client base and project scope.

What does a utilization review assistant do?

A utilization review assistant supports healthcare providers by reviewing patient cases to determine the necessity, appropriateness, and efficiency of medical services. They collect and analyze medical records, assist in coordinating care, and ensure compliance with insurance and healthcare policies, often using specialized software. This role requires attention to detail and knowledge of healthcare regulations.

What are some common challenges Utilization Management Assistants face when working with insurance pre-authorizations?

Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.

What is the highest paid assistant job?

Among assistant roles, executive assistants and administrative assistants with specialized skills or experience in industries like finance or law tend to have the highest salaries. Senior or executive assistants often earn higher wages, especially when supporting top executives and requiring advanced organizational or technical skills.

What is a Utilization Management Assistant?

A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.
What are the most commonly searched types of Utilization Management jobs in Florida? The most popular types of Utilization Management jobs in Florida are:
What cities in Florida are hiring for Utilization Management Assistant jobs? Cities in Florida with the most Utilization Management Assistant job openings:
Infographic showing various Utilization Management Assistant job openings in Florida as of June 2026, with employment types broken down into 60% Full Time, and 40% Part Time. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $36,166 per year, or $17.4 per hour.
Utilization Management Coordinator

Utilization Management Coordinator

Independent Living Systems

Miami, FL • On-site

Full-time

Posted 7 days ago


Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz


Job description

We are seeking a Utilization Management Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Utilization Management Coordinator plays an essential role in ensuring that the authorization requests are processed effectively. The Utilization Management Coordinator reviews the prior authorization form received for documentation completeness and determines if the requested service requires an authorization. This role includes inbound and outbound communication with both internal and external customers. Ultimately, the Utilization Management Coordinator contributes to improving member outcomes by facilitating timely access to necessary care.

Minimum Qualifications:

  • High school diploma or equivalent required
  • 2 years of experience as a medical office referral/authorization clerk, office assistant or other medical office experience.
  • Strong knowledge of healthcare regulations, and medical terminology.
  • Relevant experience may substitute for the educational requirement on a year-for-year basis.

Preferred Qualifications:

  • Associate degree in Health Administration, or a related healthcare field
  • Certification in Utilization Review (e.g., Certified Professional in Utilization Review - CPUR) or Case Management (e.g., CCM).
  • Experience working within managed care organizations or health insurance companies.
  • Familiarity with regulatory requirements such as Florida Medicaid/SMMC and CMS guidelines, HIPAA and current health plan accreditation standards,.

Responsibilities:

  • Demonstrate commitment to Our Mission and models ILS Experience Standards of Excellence.
  • Continuously reviews prior authorization requests received via oral, provider portal, fax and/or email to ensure timely processing.
  • Screens prior authorization requests for appropriate referral to the Clinical Care Specialist.
  • Performs non-medical research including eligibility verification, reviewing the prior authorization grid to confirm if services do or do not require prior authorization.
  • Places outbound calls to providers to request clinical information for review.
  • Perform other duties as assigned.

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