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Utilization Review Assistant Jobs in Ohio (NOW HIRING)

Leora

UR Coordinator

Cincinnati, OH · On-site

$18 - $22/hr

Utilization Review (UR) Coordinator Schedule: Full Time Location: Blue Ash, OH Compensation: $18 ... * Assist with preparing documentation for peer-to-peer reviews and appeals when requested.

New

New Vista Behavioral Health

UM Coordinator

Cincinnati, OH · On-site

$18 - $24/hr

... reviews. * Maintain confidentiality of protected health information in accordance with HIPAA and applicable federal and state regulations. * Assist with identifying utilization trends, authorization ...

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All JobsUtilization Review JobsUtilization Review Assistant JobsUtilization Review Assistant Jobs in Ohio

Utilization Review Assistant information

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$9

$28

$58

How much do utilization review assistant jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for utilization review assistant in Ohio is $28.29, according to ZipRecruiter salary data. Most workers in this role earn between $16.04 and $34.72 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.

What are the most commonly searched types of Utilization Review jobs in Ohio?

The most popular types of Utilization Review jobs in Ohio are:

What are popular job titles related to Utilization Review Assistant jobs in Ohio?

For Utilization Review Assistant jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Utilization Review Assistant jobs in Ohio look for?

The top searched job categories for Utilization Review Assistant jobs in Ohio are:

What cities in Ohio are hiring for Utilization Review Assistant jobs?

Cities in Ohio with the most Utilization Review Assistant job openings:

Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 13% Part Time, 2% Temporary, and 4% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $58,838 per year, or $28.3 per hour.

UR Coordinator

Leora

Cincinnati, OH • On-site

$18 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

Job description

Utilization Review (UR) Coordinator

Schedule: Full Time
Location: Blue Ash, OH
Compensation: $18 - $22 hr

Position Summary

Leora Behavioral Health is seeking a detail-oriented and organized Utilization Review (UR) Coordinator to support the coordination, documentation, and timely submission of utilization review activities for behavioral health services. The UR Coordinator will work closely with clinical teams, insurance companies, utilization management representatives, and other internal departments to help ensure services are appropriately authorized, documented, and aligned with payer requirements.

The ideal candidate is highly organized, comfortable working with confidential clinical information, able to manage multiple deadlines, and experienced with insurance authorizations or behavioral health administrative processes.

Key Responsibilities
  • Coordinate initial, concurrent, retrospective, and continued-stay utilization review activities as applicable.
  • Monitor authorization periods, review dates, and payer deadlines to help prevent gaps in authorization.
  • Obtain and maintain insurance eligibility, benefits, authorization, and clinical review information.
  • Prepare and submit required documentation to insurance companies and utilization management organizations.
  • Coordinate clinical information between treating providers and payers while maintaining appropriate confidentiality.
  • Track authorization requests, determinations, extensions, denials, and appeals in the appropriate systems.
  • Maintain accurate and timely UR records, logs, and documentation.
  • Communicate with insurance representatives regarding authorization requirements, documentation needs, and review status.
  • Notify appropriate clinical and administrative staff of authorization decisions and upcoming deadlines.
  • Escalate potential authorization barriers, denials, or urgent payer issues to the appropriate clinical or leadership team member.
  • Assist with preparing documentation for peer-to-peer reviews and appeals when requested.
  • Collaborate with admissions, clinical, billing, and revenue-cycle teams to support continuity of care and accurate reimbursement.
  • Ensure documentation and processes are consistent with organizational policies, payer requirements, and applicable regulatory standards.
  • Protect patient privacy and maintain compliance with HIPAA and organizational confidentiality policies.
  • Participate in quality-improvement initiatives related to utilization management and authorization processes.
  • Perform other duties as assigned.
QualificationsRequired
  • High school diploma or equivalent; associate or bachelor's degree in healthcare administration, behavioral health, nursing, social services, or a related field preferred.
  • Previous experience in healthcare, behavioral health, utilization review, insurance authorizations, medical necessity review support, or a related administrative role.
  • Strong organizational and time-management skills.
  • Excellent written and verbal communication skills.
  • Strong attention to detail and ability to meet time-sensitive deadlines.
  • Ability to work effectively with clinicians, insurance companies, patients/families, and administrative staff.
  • Ability to handle confidential patient and insurance information appropriately.
  • Proficiency with electronic health records (EHRs), Microsoft Office, and/or other healthcare information systems.
Why Join Us?
  • Medical, Dental, Vision, and Life Insurance
  • 401(k) with Company Match
  • Paid Time Off (PTO) and Paid Holidays
  • Tuition Reimbursement (up to $15,000) and Student Loan Forgiveness Programs
  • Career Growth and Professional Development Opportunities
  • Employee Assistance Program (EAP)

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