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Utilization Review Assistant Jobs (NOW HIRING)

Discovery Institute NJ

Utilization Review

Marlboro, NJ · On-site

Monitor payer portals for authorization updates. * Assist with Medicaid and managed care authorization processes. * Participate in utilization review meetings and case conferences. * Generate reports ...

Discovery Institute NJ

Utilization Review

Marlboro, NJ · On-site

Monitor payer portals for authorization updates. * Assist with Medicaid and managed care authorization processes. * Participate in utilization review meetings and case conferences. * Generate reports ...

Discovery Institute

Utilization Review

Marlboro, NJ · On-site

Monitor payer portals for authorization updates. * Assist with Medicaid and managed care authorization processes. * Participate in utilization review meetings and case conferences. * Generate reports ...

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How much do utilization review assistant jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for utilization review assistant in the United States is $30.95, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $37.98 per hour, depending on experience, location, and employer.

What is a utilization review assistant?

A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.

What does a utilization review assistant do?

A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.

What skills and qualifications are needed to be a utilization review assistant?

To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.

How do I get into a utilization review assistant?

To become a utilization review assistant, candidates typically need a high school diploma or equivalent, with some roles preferring healthcare-related certifications or experience. Strong organizational skills, attention to detail, and familiarity with medical records and insurance processes are important; some positions may require knowledge of healthcare management software. Gaining relevant experience or certifications can improve job prospects in this field.
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Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $64,366 per year, or $30.9 per hour.

Utilization Review Assistant

Mosaic Life Care

Saint Joseph, MO • On-site

Other

Medical

Posted 6 days ago

Mosaic Life Care rating

6.6

Company rating: 6.6 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

568th of 888 rated healthcare providers

Job description


The Utilization Review Assistant is responsible for the administrative components of Utilization Management that primarily focuses on supporting the medical review process.
Responsibilities
  • Responsible for communication of required healthcare documents to patients and/or representatives.
  • Adhere to regulatory and compliance standards
  • Understanding benefits including Medicaid and Medicare
  • Work closely with utilization review staff, care managers and social workers to assist with any administrative responsibilities or needs.
  • Documentation entry
  • Phone and Voicemail retrieval
  • Mail distribution within the department
  • Worklist management
  • Other duties assigned
Education
  • H.S. Diploma - or GED - Required

Work Experience
  • Experience in healthcare, managed care, hospital, or clinical setting, or other comparable work experience. - Preferred

Licenses and Certifications
  • Upon Hire

Travel Requirements
  • Travel to off-site locations may be required. - Required

Qualifications
Skills and Abilities
Essential Technical/Motor Skills
  • Hand/eye coordination: speaks clearly; good hearing, ability to use computers, printers and telephone equipment
  • Interpersonal skills
  • Ability to work as a member of a team and develop trusting relationships quickly
  • Excellent verbal and written communication skills including sensitivity to other cultures and ethnicities.
Interpersonal Skills
Essential Physical Requirements
Essential Mental Abilities
  • Implements and provides ongoing support of members care plan, recognizes alternatives, identifying problems.
  • Provides patient and family teaching about health related needs, financial needs and other coping issues.
  • Concentrates on plans and roles of other team members, understanding all responsibilities and plans.
Essential Sensory Requirements
  • Visual and hearing skills to obtain a driver's license are required.
  • Ability to communicate with members and families, communicating in person and on phone.
Exposure to Hazards
Other Skills and Abilities
  • Must have access to transportation

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