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Utilization Review Coordinator Remote Jobs (NOW HIRING)

CorroHealth

Coordinator, Utilization Management

This is a REMOTE position within US only. About this position: Title: Coordinator, Utilization ... Review timely filing guidelines regarding the utilization management process. * Track and follow up ...

silvercross

Utilization Review Nurse

$34.73 - $45.15/hr

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...

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How much do utilization review coordinator remote jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for utilization review coordinator remote in the United States is $29.61, according to ZipRecruiter salary data. Most workers in this role earn between $21.39 and $34.62 per hour, depending on experience, location, and employer.

What does a utilization review coordinator do when working remotely?

A Utilization Review Coordinator working remotely is responsible for evaluating the necessity, appropriateness, and efficiency of healthcare services and procedures. They review medical records, treatment plans, and insurance policies to ensure compliance with regulations and that patients receive proper care without unnecessary costs. Remote UR Coordinators collaborate with healthcare providers, payers, and patients primarily through electronic records and virtual communication, maintaining strong organizational and analytical skills. Their goal is to optimize patient outcomes while managing healthcare resources effectively.

How does a utilization review coordinator typically collaborate with healthcare providers and insurance companies?

As a remote Utilization Review Coordinator, you will regularly communicate with healthcare providers and insurance representatives via phone, email, and secure digital platforms. Your main responsibilities include reviewing patient records, making coverage determinations, and ensuring compliance with regulatory guidelines. Collaboration often involves clarifying medical necessity, gathering additional documentation, and participating in virtual team meetings to discuss complex cases. Strong communication skills and comfort with digital tools are essential for seamless coordination across remote teams.

What are the key skills and qualifications needed to thrive as a utilization review coordinator remote?

To thrive as a Utilization Review Coordinator Remote, you need a strong background in healthcare, knowledge of medical terminology, and often an active RN or LPN license. Familiarity with utilization management software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is typically required. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for evaluating medical necessity and collaborating with providers. These skills ensure accurate, efficient case reviews and compliance with regulations, which are vital for optimizing patient care and managing healthcare costs.
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Utilization Review Coordinator Remote jobs near you
Infographic showing various Utilization Review Coordinator Remote job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $61,585 per year, or $29.6 per hour.

Coordinator, Utilization Management

CorroHealth

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

CorroHealth rating

8.1

Company rating: 8.1 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

110th of 500 rated business services

Job description

About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
This is a REMOTE position within US only.
About this position:
Title: Coordinator, Utilization Management
Location: Remote (Within US Only)
Required Schedule: Tuesday - Saturday, 8:00 AM to 5:00 PM EST (Some holiday coverage required)
Overview:
CorroHealth is the partner of choice to healthcare providers in support of their Revenue Cycle challenges. We solve problems through a customized mix of services, consulting and technology that can change over time to meet any client's evolving needs.
Responsibilities:
  • Manage the Authorization process end to end, from initial notification, entry and submission of required information, follow up all the way to determination and discharge.
  • Maintain detailed documentation of the record in the EMR system, in the internal CorroHealth system and in the Health Payer portals.
  • Verify correct eligibility and benefits for patients.
  • Act as a liaison between the hospital staff and the Health Payer to facilitate information sharing and successful process completion within allocated timeframe.
  • Review timely filing guidelines regarding the utilization management process.
  • Track and follow up with payers on pending authorizations to ensure timely responses.
  • Contact payer to elicit further information regarding status, decisions and remove hurdles in the processing.
  • Identify and escalate issues that may result in delays or denials.
  • Manage assigned workload of accounts through timely follow up and accurate record keeping.
  • Maintain compliance with HIPAA and other healthcare regulations.

Skills Required:
  • High School Diploma or equivalent. Associate degree in healthcare administration or equivalent preferred.
  • 2 years of experience in hospital related billing/follow-up/healthcare setting/authorization field.
  • Knowledge of/experience working with managed care contracts
  • Experience working with customer support/client issue resolution management.
  • Strong understanding of medical terminology and insurance processes.
  • Experience working in EMR systems, Epic preferred.
  • Excellent communication and organization skills.
  • Strong multi-tasking skills, working in a face paced environment.
  • Proficiency with MS Office and web systems.

What we offer:
  • Remote within US ONLY
  • Equipment provided
  • Medical/Dental/Vision Insurance
  • 401k matching (up to 2%)
  • PTO: 80 hours accrued, annually
  • 9 paid annual holidays
  • Life Insurance
  • Short/Long term disability options
  • Tuition reimbursement
  • Professional growth and more!

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

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