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Utilization Review Assistant Jobs in Boca Raton, FL

NRG MGMT LLC

Collections Manager

Lake Worth, FL · On-site

Utilization Review * Admissions * Finance * Clinical Leadership * Assist with root-cause analysis of revenue cycle issues. * Support implementation of new payer contracts and reimbursement ...

Nbhospitals

Coding Specialist

Boynton Beach, FL · On-site

$55 - $75/hr

Collaborate with clinical, billing, utilization review, and administrative departments to resolve ... * Assist with audits, quality assurance reviews, and compliance activities related to medical ...

NRG MGMT LLC

Administrative Assistant

Lake Worth, FL · On-site

$16 - $21.50/hr

Administrative Assistant Department Administration Reports To Practice Manager / Executive ... and utilization review services for substance abuse treatment providers. With over 20 years of ...

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All JobsUtilization Review JobsUtilization Review Assistant JobsUtilization Review Assistant Jobs in Boca Raton, FL

Utilization Review Assistant information

See Boca Raton, FL salary details

$10

$29

$60

How much do utilization review assistant jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for utilization review assistant in Boca Raton, FL is $29.47, according to ZipRecruiter salary data. Most workers in this role earn between $16.71 and $36.17 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 Boca Raton, FL?

The most popular types of Utilization Review jobs in Boca Raton, FL are:

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For Utilization Review Assistant jobs in Boca Raton, FL, the most frequently searched job titles are:

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The top searched job categories for Utilization Review Assistant jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Utilization Review Assistant jobs?

Cities near Boca Raton, FL with the most Utilization Review Assistant job openings:

Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in Boca Raton, FL as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $61,302 per year, or $29.5 per hour.

Collections Manager

NRG MGMT LLC

Lake Worth, FL • On-site

Full-time

Medical, PTO

Re-posted 19 days ago

Job description

Collections Manager - Remedial Pro LLC -One Site 

Location: Boca Raton, FL 

Remedial Pro is seeking an experienced Collections Manager to oversee insurance and patient account collections, improve cash flow, and reduce outstanding accounts receivable. The ideal candidate will have a strong background in medical billing, insurance collections, and team leadership.

Key Responsibilities

Revenue Recovery & Collections

  • Manage all collections activities for commercial, Medicare, Medicaid, TRICARE, VA, and managed care payers. 
  • Monitor and reduce accounts receivable aging across all levels of care, including Detox, Residential, PHP, IOP, OP, and Medication Management. 
  • Prioritize high-dollar accounts and timely follow-up on unpaid, denied, and underpaid claims. 
  • Ensure all payer follow-up activities are completed within established timelines. 
  • Develop and implement collection strategies that maximize reimbursement and improve cash flow. 
  • Monitor payer trends, identify recurring reimbursement issues, and implement corrective action plans. 
  • Collaborate with Billing, Payment Posting, Credentialing, Utilization Review, and Contracting teams to resolve reimbursement barriers. 

Accounts Receivable Management

  • Review and monitor aging reports by payer, facility, and representative. 
  • Establish productivity standards and collection goals for the department. 
  • Ensure timely resolution of: 
    • Denials 
    • Underpayments 
    • No-response claims 
    • Appeals 
    • Coordination of Benefits issues 
    • Authorization-related denfor adjustments 
  • Monitor write-offs and recommend recovery opportunities. 

Leadership & Team Development

  • Lead, coach, mentor, and develop the Collections team. 
  • Conduct regular one-on-one meetings, performance evaluations, and coaching sessions. 
  • Monitor staff productivity, quality, and KPI performance. 
  • Develop training materials and standard operating procedures (SOPs). 
  • Foster a culture of accountability, teamwork, and continuous improvement. 

Reporting & Analytics

  • Analyze collection performance and reimbursement trends. 
  • Prepare weekly and monthly executive reports that include: 
    • Accounts Receivable Aging 
    • Collection Rate 
    • Recovery Rate 
    • Denial Trends 
    • Underpayment Analysis 
    • Payer Performance 
    • Cash Collections 
  • Identify operational opportunities that improve reimbursement and reduce AR days. 
  • Present recommendations to executive leadership. 

Compliance & Regulatory

  • Ensure compliance with: 
    • HIPAA 
    • CMS regulations 
    • Commercial payer guidelines 
    • Medicaid billing requirements 
    • Medicare regulations 
  • Maintain accurate documentation within the billing system. 
  • Partner with Compliance and Legal teams regarding payer disputes and escalated accounts. 

Cross-Functional Collaboration

  • Partner closely with: 
    • Billing 
    • Credentialing 
    • Contracting 
    • Utilization Review 
    • Admissions 
    • Finance 
    • Clinical Leadership 
  • Assist with root-cause analysis of revenue cycle issues. 
  • Support implementation of new payer contracts and reimbursement initiatives. 

What We Offer

  • Competitive salary
  • Bonus opportunities
  • Health benefits
  • Paid time off
  • Career growth and development opportunities
  • Supportive team environment

Equal Opportunity Employer

Remedial Pro is an Equal Opportunity Employer committed to fostering a diverse and inclusive workplace.

Apply