Credit Representative
Kinsey, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Kinsey, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Kinsey, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Marianna, FL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Marianna, FL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Marianna, FL · On-site
Performing clinical review, triage, and management of podiatric consults. * Actively involved in ... and utilization of highly specific devices which place the foot or digits in a more functional ...
Marianna, FL · On-site
Performing clinical review, triage, and management of podiatric consults. * Actively involved in ... and utilization of highly specific devices which place the foot or digits in a more functional ...
Graceville, FL · On-site
$25K/mo
Inspect, complete, and analyze medical records as well as assign, review and update medical ... Implement basic cost containment and utilization management for patient care and facility ...
Graceville, FL · On-site
$25K/mo
Inspect, complete, and analyze medical records as well as assign, review and update medical ... Implement basic cost containment and utilization management for patient care and facility ...
Graceville, FL · On-site
$25K/mo
Inspect, complete, and analyze medical records as well as assign, review and update medical ... Implement basic cost containment and utilization management for patient care and facility ...
Graceville, FL · On-site
$25K/mo
Inspect, complete, and analyze medical records as well as assign, review and update medical ... Implement basic cost containment and utilization management for patient care and facility ...
Graceville, FL · On-site
$25K/mo
Inspect, complete, and analyze medical records as well as assign, review and update medical ... Implement basic cost containment and utilization management for patient care and facility ...
Graceville, FL · On-site
$25K/mo
Inspect, complete, and analyze medical records as well as assign, review and update medical ... Implement basic cost containment and utilization management for patient care and facility ...
Graceville, FL · On-site
$25K/mo
Inspect, complete, and analyze medical records as well as assign, review and update medical ... Implement basic cost containment and utilization management for patient care and facility ...
Graceville, FL · On-site
$25K/mo
Inspect, complete, and analyze medical records as well as assign, review and update medical ... Implement basic cost containment and utilization management for patient care and facility ...
Inspect, complete, and analyze medical records as well as assign, review and update medical ... Implement basic cost containment and utilization management for patient care and facility ...
Inspect, complete, and analyze medical records as well as assign, review and update medical ... Implement basic cost containment and utilization management for patient care and facility ...
Graceville, FL · On-site
$25K/mo
Inspect, complete, and analyze medical records as well as assign, review and update medical ... Implement basic cost containment and utilization management for patient care and facility ...
Graceville, FL · On-site
$25K/mo
Inspect, complete, and analyze medical records as well as assign, review and update medical ... Implement basic cost containment and utilization management for patient care and facility ...
Ozark, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Ozark, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Dothan, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Dothan, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Blakely, GA · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Blakely, GA · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Ozark, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Ozark, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Blakely, GA · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Blakely, GA · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Dothan, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Dothan, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Blakely, GA · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Blakely, GA · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Ozark, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Ozark, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Participate in utilization and peer review programs which evaluates the quality of the medical staff and medical services being performed at the clinics * Provide supervision and consultation to ...
Participate in utilization and peer review programs which evaluates the quality of the medical staff and medical services being performed at the clinics * Provide supervision and consultation to ...
Participate in utilization and peer review programs which evaluates the quality of the medical staff and medical services being performed at the clinics * Provide supervision and consultation to ...
Participate in utilization and peer review programs which evaluates the quality of the medical staff and medical services being performed at the clinics * Provide supervision and consultation to ...
$19.45 - $23.38
2% of jobs
$23.38 - $27.32
9% of jobs
$30.01 is the 25th percentile. Wages below this are outliers.
$27.32 - $31.25
21% of jobs
The median wage is $34.43 / hr.
$31.25 - $35.18
23% of jobs
$35.18 - $39.12
13% of jobs
$42.18 is the 75th percentile. Wages above this are outliers.
$39.12 - $43.05
10% of jobs
$43.05 - $46.98
8% of jobs
$46.98 - $50.92
5% of jobs
$50.92 - $54.85
5% of jobs
$54.85 - $58.78
2% of jobs
$58.78 - $62.72
2% of jobs
$19
$38
$62
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
For Utilization Review jobs in Dothan, AL, the most frequently searched job titles are:
The top searched job categories for Utilization Review jobs in Dothan, AL are:
Cities near Dothan, AL with the most Utilization Review job openings:

5.7
Based on 15 frontline employees who took The Breakroom Quiz
47th of 62 rated furniture retailers
Job Type
Full-time
Description
The purpose of this classification is to perform work functions associated with locating, notifying, and securing payments from customers with delinquent accounts.
ESSENTIAL FUNCTIONS
The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification. Other duties may be required and assigned.
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