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Utilization Review Assistant Jobs in Madison, WI

AdvisaCare

Home Health Intake Coordinator

Portage, WI

$19 - $26/hr

Utilization of Wellsky/Kinnser Agency Manager as EMR platform. ESSENTIAL DUTIES AND ... Scheduling clinical staff once insurance has been verified/ authorization obtained. * Assist ...

AdvisaCare

Home Health Intake Coordinator

Portage, WI · On-site

$19 - $26/hr

Utilization of Wellsky/Kinnser Agency Manager as EMR platform. ESSENTIAL DUTIES AND ... Scheduling clinical staff once insurance has been verified/ authorization obtained. * Assist ...

Triple Shift Entertainment

Front Desk Attendant

Madison, WI · On-site

$13 - $17/hr

Will ensure that maximum utilization of lanes and equipment is realized through efficient control ... Respect. Assist guests in selecting appropriate equipment, such as shoes. * Process lane ...

Triple Shift Entertainment

Front Desk Attendant

Madison, WI · On-site

$13 - $17/hr

Will ensure that maximum utilization of lanes and equipment is realized through efficient control ... Respect. Assist guests in selecting appropriate equipment, such as shoes. * Process lane ...

Sevita Health

Program Supervisor

Janesville, WI · On-site

$18/hr

Billing and Utilization: Compiles or accumulates census or attendance information; reviews data and ... May assist with or lead monthly program meetings for direct support professionals; documents ...

Sevita Health

Group Home Program Supervisor

Rio, WI · On-site

$17/hr

Billing and Utilization: Compiles or accumulates census or attendance information; reviews data and ... May assist with or lead monthly program meetings for direct support professionals; documents ...

Sevita

Program Supervisor

Janesville, WI · On-site

$18/hr

Billing and Utilization: Compiles or accumulates census or attendance information; reviews data and ... May assist with or lead monthly program meetings for direct support professionals; documents ...

Madison, City of (WI)

Risk Manager

Madison, WI · On-site

$118K - $143K/yr

Review Claims and Represent City in Subrogation Claims Review liability and property claims against ... assist with safety studies, perform property inspections, take pictures, and perform other needs.

Rock County, WI

Registered Nurse - All Shifts

Janesville, WI · On-site

$40.28 - $43.85/hr

The RN has supervisory responsibility for the licensed practical nurses and nursing assistants in ... Ability to review and assure that the clinical work of others is in accordance with professional ...

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All JobsUtilization Review JobsUtilization Review Assistant JobsUtilization Review Assistant Jobs in Madison, WI

Utilization Review Assistant information

See Madison, WI salary details

$10

$30

$61

How much do utilization review assistant jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for utilization review assistant in Madison, WI is $30.05, according to ZipRecruiter salary data. Most workers in this role earn between $17.04 and $36.88 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 Madison, WI?

The most popular types of Utilization Review jobs in Madison, WI are:

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

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Cities near Madison, WI with the most Utilization Review Assistant job openings:

Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in Madison, WI as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $62,496 per year, or $30 per hour.

Home Health Intake Coordinator

AdvisaCare

Portage, WI

$19 - $26/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 26 days ago

AdvisaCare rating

3.8

Company rating: 3.8 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

Job description

AdvisaCare Home Health is currently accepting resumes for a full-time Home Health Intake Coordinator to join our team at our Kalamazoo/Portage location!

The Home Health Intake Coordinator is responsible for ensuring that benefit information, initial authorization and patient liability are obtained prior to the clinical staff starting care. This position also includes scheduling of clinical staff and tracking orders and other pertinent documentation from physicians/ referral sources. Utilization of Wellsky/Kinnser Agency Manager as EMR platform.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Responsible for obtaining detailed and accurate benefit information using websites or phone for all insurance companies.
  • Validate and document all payor information such as patient name, DOB etc., in the Wellsky/Kinnser system.
  • Clearly document benefit information such as deductibles, co-pay, co-insurance and out of pocket maximums in the patient's chart.
  • Obtain start of care authorization for managed care cases not requiring clinical documentation.
  • Verification of all pre-operative patients prior to scheduled surgery.
  • Daily/continuous monitoring of task flow screen related to all insurance issues including, but not limited to the following: verify Medicare eligibility, complete insurance verification, review eligibility alerts, obtain initial authorization, re-verify insurance at recertification and resumption of care.
  • Daily/ continuous monitoring of orders needing to be sent to physicians and follow-up with physician offices as necessary.
  • Assist intake department, discharge planners and referral sources with contracted insurance issues and patient placement, including obtaining necessary documentation for patient initiation of services.
  • Responsible for contacting physician offices or patients for information or to clarify benefit.
  • Scheduling clinical staff once insurance has been verified/ authorization obtained.
  • Assist billing department with various billing duties.

Requirements

QUALIFICATION REQUIREMENTS

  • Knowledge of Medicare preferred.
  • Experience with insurance websites such as CareCentrix, Availity, Priority, etc. preferred.
  • Knowledge of Wellsky/Kinnser Agency Manager is preferred
  • Experience coordinating with others both internally and externally, including referral sources and internal teams.
  • Eligible to work in the United States.
  • Available for weekend referral on-call rotation.

EDUCATION/EXPERIENCE

  • High school diploma or GED
  • Minimum of one (1) year insurance verification, insurance authorization or medical billing experience.

Benefits

We offer medical/dental/vision benefits, 401K Plan, as well as vacation/sick time and paid holidays.

Join the AdvisaCare family and let's make a difference together!

What AdvisaCare employees say

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