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Utilization Review Assistant Jobs in Rochester, NY

DePaul

Residential Assistant

Rochester, NY · On-site

$21 - $21.30/hr

... Residential Assistant! Under the direction of the Residence Manager, assists with the case ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

DePaul

Residential Assistant

Rochester, NY · On-site

$21 - $21.30/hr

... part-time Residential Assistant on our weekend overngith shift! Under the direction of the ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

DePaul

Residential Assistant

Henrietta, NY · On-site

$21 - $21.30/hr

... Assistant to join our team! Under the direction of the Residence Manager, assists with the case ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

DePaul

Residential Assistant

Rochester, NY

$21 - $21.30/hr

... Residential Assistant! Under the direction of the Residence Manager, assists with the case ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

DePaul

Residential Assistant

Henrietta, NY

$21 - $21.30/hr

... Assistant to join our team! Under the direction of the Residence Manager, assists with the case ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

DePaul

Residential Assistant

Rochester, NY

$21 - $21.30/hr

... Residential Assistant! Under the direction of the Residence Manager, assists with the case ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

DePaul

Residential Assistant

Henrietta, NY

$21 - $21.30/hr

... Assistant to join our team! Under the direction of the Residence Manager, assists with the case ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

DePaul

Residential Assistant

Rochester, NY

$21 - $21.30/hr

... Assistant! This role is every other weekend on the overnight shift. Under the direction of the ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

DePaul

Residential Assistant

Rochester, NY

$21 - $21.30/hr

... Assistant! This role is every other weekend on the overnight shift. Under the direction of the ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

DePaul

Residential Assistant

Rochester, NY · On-site

$21 - $21.30/hr

... Assistant! This role is every other weekend on the overnight shift. Under the direction of the ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other ...

Lthc

Utilization Management Services Rep I

Rochester, NY

$15.75 - $21.50/hr

Summary: This position supports the Utilization Management (UM) workflows by providing ... * Assist management with the review and creation of desk level procedures, acting as a subject ...

Lthc

Utilization Management Services Rep I

Rochester, NY

$15.75 - $21.50/hr

Summary: This position supports the Utilization Management (UM) workflows by providing ... * Assist management with the review and creation of desk level procedures, acting as a subject ...

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Utilization Review Assistant information

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How much do utilization review assistant jobs pay per hour?

As of May 28, 2026, the average hourly pay for utilization review assistant in Rochester, NY is $28.92, according to ZipRecruiter salary data. Most workers in this role earn between $16.40 and $35.50 per hour, depending on experience, location, and employer.

What is a Utilization Review Assistant job?

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 are the key skills and qualifications needed to thrive in the Utilization Review Assistant position, and why are they important?

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.

What does a typical day look like for a Utilization Review Assistant and who do they work with?

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.
More about Utilization Review Assistant jobs
What are the most commonly searched types of Utilization Review jobs in Rochester, NY? The most popular types of Utilization Review jobs in Rochester, NY are:
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What job categories do people searching Utilization Review Assistant jobs in Rochester, NY look for? The top searched job categories for Utilization Review Assistant jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Utilization Review Assistant jobs? Cities near Rochester, NY with the most Utilization Review Assistant job openings:
Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in Rochester, NY as of May 2026, with employment types broken down into 69% Full Time, and 31% Part Time. Highlights an 100% In-person job distribution, with an average salary of $60,159 per year, or $28.9 per hour.
Utilization Management Insurance Liaison - Hybrid opportunity

Utilization Management Insurance Liaison - Hybrid opportunity

Thompson Health

Canandaigua, NY • Hybrid

$20 - $25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago

Thompson Health rating

7.7

Company rating: 7.7 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

Are you looking to make a real difference in the lives of others in an empowering and supportive work environment? Join our growing and well respected community health system and enjoy competitive pay, high patient and staff satisfaction levels, excellent infection control support and compliance, free parking, tuition assistance and other excellent benefits!

Schedule: Full time, days Monday through Friday.

*This could be a hybrid opportunity however we will need the associate to be on-site at least 2-3 days per week.

Pay Range: $20.00 -$25.00, based on experience.

Benefits:

  • Health, dental, vision insurance
  • Tuition reimbursement up to $6000/year
  • Contribution and match on Retirement Plan
  • Four weeks paid time off
  • Access to Success coaches
  • Free parking

Company Culture: Thompson Health has a culture of empowerment. At Thompson, interdisciplinary teams come together to improve care, your suggestions are welcomed and your ideas are part of the solution. Three of our executives have an RN background so we understand the importance of the patient experience! 

  • Focus on CARES values: Commitment, Action, Respect, Excellence, and Service
  • Focus on Employee Wellness: Biometric screenings, Wellness programs, Onsite gym, Zen Room, Community Shared Agriculture program, Access to Success Coach
  • Staff Recognition platforms: Shining Stars, CARESCount website

Main Function:

  • The Utilization Management Insurance Liaison is responsible for managing the submission of clinical documentation to insurance companies for hospital admissions.
  • This position tracks insurance approvals and denials, coordinates appeals and peer to peer discussions between the hospital providers and the insurance companies.
  • This role ensures compliance with CMS regulations, NYS regulations and insurance company policies.
  • This position acts as liaison to the business office and other hospital departments. 
  • The Insurance Liaison supports the Utilization Management team by completing administrative tasks and assisting with coverage of select tasks when other members of the team are on vacation or leave. 

Required Job Specific Competencies:  

  • Demonstrates understanding of state and federal regulations as pertains to Utilization Review and demonstrates familiarity with payer-specific guidelines.
  • Demonstrates ability to work independently as well as part of team.
  • Demonstrates the ability to develop and maintain collaborative working relationships with associates, leaders, medical staff and outside agencies.
  • Exhibits flexibility in decision-making and prioritizes workload responsibilities.
  • Demonstrates strong problem-solving, attention to detail and organizational skills.
  • Demonstrates interpersonal skills, professional manner and excellent communication.
  • High standard of medical & business ethics.
  • Actively guards the confidentiality of sensitive information including but not limited to the patients, staff, and the health system.
  • Demonstrates time-management skills with the ability to multi-task and meet deadlines..
  • Demonstrates ability to use many software products including EHRs, Microsoft products, and other software/programs to assist with data analysis.
  • Demonstrates comprehensive knowledge of insurance plans, member eligibility, medical billing with understanding of CPT, ICD-10 and medical terminology.

Qualifications:

  • High School Graduate or equivalent required.
  • Associate or Bachelor’s degree preferred.
  • 1-3 years’ experience in a healthcare environment required.
  • Strong computer, communication & organizational skills
  • Previous experience reviewing and analyzing denials, claims and rejections preferred.
  • Previous experience with reimbursement systems, DRGs/APCs, medical billing CPT codes, ICD10 coding guidelines preferred.

Pay Range: $20.00 -$25.00

Starting Rate: Based on experience

Thompson Health is an EOE encouraging individuals with disabilities and veterans to apply

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