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Utilization Review Support Specialist Jobs (NOW HIRING)

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Utilization Review Specialist

Knoxville, TN · On-site

We've always believed that supporting our team is just as important as supporting our patients. Now ... The Utilization Review Specialist plays a critical role in ensuring that healthcare services ...

ADP, Inc.

Utilization Review Specialist

Knoxville, TN · On-site

We've always believed that supporting our team is just as important as supporting our patients. Now ... The Utilization Review Specialist plays a critical role in ensuring that healthcare services ...

Emory Healthcare

Utilization Review Specialist

Atlanta, GA · Remote

$47.40 - $54.95/hr

The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough ... Operational Support: 1. Conducts thorough medical necessity reviews to assist with determining ...

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How much do utilization review support specialist jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for utilization review support specialist in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

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Infographic showing various Utilization Review Support Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.

Utilization Review Support Specialist

Mount Pleasant, SC • On-site

Novant Health
Health Care and Social Assistance • 10K+ employees
Learn more about Novant Healthexternal

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 12 days ago

Novant Health rating

7.1

Company rating: 7.1 out of 10

Based on 467 frontline employees who took The Breakroom Quiz

Job description

What We Offer
  • Comprehensive benefits include medical, dental, vision, and life insurance.
  • Retirement fund with matching contributions.
  • Tuition assistance for qualifying team members.
  • Employee assistance programs and discounts.
  • Hybrid work opportunity.

What You'll Do
  • Schedule: Monday - Friday, daytime hours, rotating holidays.
  • Provide administrative and technical support to the Utilization Review team to ensure timely payer communication, authorization tracking, and accurate documentation.
  • Manage daily operations of the onsite Utilization Review (UR) office, including processing mail, answering phone inquiries, making calls to verify authorizations and denial determinations, and faxing communications for multiple facilities.
  • Process denials within a strict timeframe and manage payor work queues to avoid adverse determinations.
  • Facilitate EMR access by sending census reports to payors.
  • Process large volumes of confidential patient and payer information to support billing workflows (includes managing payor communications, processing authorizations, addressing denials, and indexing faxes).
  • Establish and maintain effective work relationships with both internal and external customers.
  • Maintain compliance and regulatory standards and organizational policies.

What We're Looking For
Required:
  • Education: High School Diploma or GED.
  • Experience: Minimum of one year of clerical and healthcare experience.
  • Additional Skills (required): Excellent interpersonal and customer service skills. Working knowledge of personal computers and software including specific knowledge of Microsoft office products. Perform clerical duties with accuracy. Proficient spelling and grammatical skills. Attention to detail with excellent planning and organizational skills. Communicate effectively in both oral and written forms. Keyboard/type accurately. Ability to operate standard office equipment including, but not limited to, a calculator, fax machine, copier, printer and scanner. Establish and maintain effective work relationships. Ability to successfully complete generic and department specific skills validation and competency testing.

Preferred:
  • Knowledge of Microsoft Office products with proficiency in Excel and Word.
  • Revenue cycle experience working with different payer types and working knowledge of their requirements.

Why Choose Novant Health?
At Novant Health, we believe remarkable care starts with compassion for our patients, our communities, and each other. We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves.
Job Opening ID
185138

What Novant Health employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Novant Health

Sourced by ZipRecruiter

Novant Health is a not-for-profit integrated system of 16 medical centers and more than 1,900 physicians in over 800 locations, as well as numerous outpatient surgery centers, medical plazas, rehabilitation programs, diagnostic imaging centers and community health outreach programs. Novant Health's more than 36,000 team members and physician partners care for patients and communities in North Carolina and South Carolina.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Winston-Salem, NC, US

Year founded

1997

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