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Health Insurance Auditor Jobs (NOW HIRING)

Information Providers, Inc

Insurance Auditor

Green Bay, WI · On-site +1

$42K - $55K/yr

Health, dental, and vision insurance * PTO * Flexible schedule * Growth opportunities * HSA/FSA ... ABOUT THIS INSURANCE AUDITOR ROLE This opportunity offers flexible scheduling with full-time ...

New

Information Providers, Inc

Insurance Auditor

Fargo, ND · On-site

$42K - $55K/yr

Health, dental, and vision insurance * PTO * Flexible schedule * Growth opportunities * HSA/FSA ... ABOUT THIS INSURANCE AUDITOR ROLE This opportunity offers flexible scheduling with full-time ...

New

Information Providers, Inc

Insurance Auditor

Fargo, ND · On-site +1

$42K - $55K/yr

Health, dental, and vision insurance * PTO * Flexible schedule * Growth opportunities * HSA/FSA ... ABOUT THIS INSURANCE AUDITOR ROLE This opportunity offers flexible scheduling with full-time ...

New

Information Providers, Inc

Insurance Auditor

Green Bay, WI · On-site

$42K - $55K/yr

Health, dental, and vision insurance * PTO * Flexible schedule * Growth opportunities * HSA/FSA ... ABOUT THIS INSURANCE AUDITOR ROLE This opportunity offers flexible scheduling with full-time ...

New

Information Providers, Inc

Insurance Auditor

Fargo, ND · On-site

$42K - $55K/yr

Health, dental, and vision insurancePTOFlexible scheduleGrowth opportunitiesHSA/FSALife ... ABOUT THIS INSURANCE AUDITOR ROLEThis opportunity offers flexible scheduling with full-time options ...

New

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Health Insurance Auditor information

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How much do health insurance auditor jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for health insurance auditor in the United States is $26.24, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $34.38 per hour, depending on experience, location, and employer.

What is a health insurance auditor?

A Health Insurance Auditor is a professional responsible for reviewing and evaluating healthcare claims, billing records, and insurance documents to ensure accuracy, compliance with regulations, and prevention of fraud. They analyze medical records and insurance policies to verify that services billed are medically necessary and properly documented. Their work helps healthcare organizations, insurance companies, and government agencies maintain financial integrity and comply with healthcare laws and standards.

What are the key skills and qualifications needed to thrive as a health insurance auditor?

To thrive as a Health Insurance Auditor, you need a solid understanding of healthcare billing, auditing procedures, and regulatory compliance, typically supported by a degree in healthcare administration, accounting, or a related field. Familiarity with claims management systems, electronic health records (EHRs), and certifications like Certified Professional Medical Auditor (CPMA) are common requirements. Attention to detail, analytical thinking, and effective communication are essential soft skills for identifying discrepancies and explaining audit findings. These skills and qualifications ensure accurate claims processing, regulatory compliance, and the prevention of fraud or financial loss for healthcare organizations and insurers.

What are some common challenges health insurance auditors face during claim reviews, and how can these be addressed?

Health Insurance Auditors often encounter challenges such as incomplete documentation, discrepancies between provider records and claims, and keeping up with frequently changing regulations. These issues can be addressed by maintaining up-to-date knowledge of industry standards, developing strong attention to detail, and fostering good communication with healthcare providers to clarify information. Additionally, utilizing audit management software and participating in regular training can help auditors stay organized and efficient in their reviews.

What is the difference between Health Insurance Auditor vs Claims Examiner?

AspectHealth Insurance AuditorClaims Examiner
CredentialsCertifications like CPC, CPC-H, or CIA often preferredCertifications like CPC or claims-specific training common
Work EnvironmentTypically in offices, performing audits on claims and recordsUsually in claims departments reviewing and processing claims
Industry UsageUsed across insurance companies, government agencies, and consulting firmsPrimarily employed by insurance companies and healthcare providers

Health Insurance Auditors focus on reviewing claims and records for accuracy and compliance, often conducting audits to prevent fraud and ensure proper billing. Claims Examiners process and review individual claims for payment. While both roles involve claims, auditors have a broader scope, including compliance and auditing standards, whereas examiners handle day-to-day claim processing.

How do you become a health insurance auditor?

To become a health insurance auditor, candidates typically need a bachelor's degree in accounting, finance, or a related field. Relevant experience in insurance, healthcare, or auditing, along with knowledge of healthcare regulations and auditing standards, is important. Professional certifications such as Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) can enhance job prospects.

What do you need to be a health insurance auditor?

To become a health insurance auditor, candidates typically need a bachelor's degree in accounting, finance, or a related field, along with experience in healthcare or insurance. Strong analytical skills, attention to detail, and knowledge of insurance regulations and billing practices are essential. Certifications such as Certified Healthcare Auditor (CHA) can enhance job prospects.

What does a health insurance auditor do in healthcare?

A health insurance auditor reviews healthcare claims, billing records, and policy compliance to ensure accuracy and prevent fraud. They analyze data using auditing tools and often require knowledge of healthcare regulations and insurance policies to verify that services billed match provided care and adhere to coverage guidelines.
More about Health Insurance Auditor jobs

What cities are hiring for Health Insurance Auditor jobs?

Cities with the most Health Insurance Auditor job openings:

What states have the most Health Insurance Auditor jobs?

States with the most job openings for Health Insurance Auditor jobs include:

What job categories do people searching Health Insurance Auditor jobs look for?

The top searched job categories for Health Insurance Auditor jobs are:

Health Insurance Auditor jobs near you
Infographic showing various Health Insurance Auditor job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $54,574 per year, or $26.2 per hour.

Insurance Auditor

Information Providers, Inc

Green Bay, WI • On-site, Remote

$42K - $55K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New

Job description

Join the Information Providers Inc. team! We are currently seeking a full-time Insurance Auditor in Green Bay, WI to deliver accurate, high-quality audit services while building meaningful professional relationships. In this role, you'll take ownership of your work, collaborate with clients, and contribute to a growing, respected organization. You can expect to earn $42,000–$55,000 yearly, along with benefits including:

  • Health, dental, and vision insurance
  • PTO
  • Flexible schedule
  • Growth opportunities
  • HSA/FSA
  • Life insurance
  • Short- and long-term disability
  • 401(k)
  • Company-provided laptop

If you're someone who values flexibility, autonomy, and a clear path forward, keep reading.


ABOUT THIS INSURANCE AUDITOR ROLE

This opportunity offers flexible scheduling with full-time options, working either 8 am–5 pm or 7 am–4 pm, Monday through Friday.

You will begin your workday by dispatching directly from your home, taking initiative as you organize client appointments and maintain a structured schedule. You will conduct both on-site and virtual audits, thoroughly reviewing payroll data, financial records, and operational documents. You will evaluate information to ensure compliance and accuracy, applying critical thinking to every report you complete. You will also prepare clear, organized audit documentation that supports both clients and internal teams, ensuring every detail meets professional standards.


GET TO KNOW US

At Information Providers Inc. (IPI), we believe that exceptional work begins with outstanding individuals. Since our inception in 1996, we have positioned ourselves as a frontrunner in Property & Casualty and Premium Audit information services, providing support to insurance companies across the nation through cutting-edge technology and our team of seasoned professionals. With a workforce of over 430 employees and a specialized field team backed by regional offices, we ensure the delivery of precise, high-quality information. Our core values-service, reliability, flexibility, timeliness, and innovation-fuel our growth and create a nurturing workplace. At IPI, your ideas are valued, your development is encouraged through mentorship and opportunities, and your efforts have a significant impact every single day. Join us in becoming part of a team that prioritizes its people just as much as its mission!


WHAT WE'RE LOOKING FOR IN AN INSURANCE AUDITOR

  • Proficiency with technology, computers, video conference software, and Microsoft-based programs
  • Professional attitude, team spirit, and effective verbal/written communication skills
  • Ability to manage multiple responsibilities, stay organized, and adapt to changing priorities
  • Ability to work independently and collaboratively
  • Self-starter mentality with resourceful problem-solving skills and a drive to meet targets

Preferred Qualifications:

  • Associate degree (or higher) in a subject like accounting, mathematics, education, marketing, or business - education is weighted more than experience!
  • Accounting, bookkeeping, payroll, financial analysis, or premium audit experience
  • Experience as a loan officer or office manager

Your next opportunity is just a few clicks away. Apply now for this Insurance Auditor position using our simple, mobile-friendly application. It's fast, intuitive, and designed to help you get in front of our hiring team without delay.


Must have the ability to pass a background check and drug screening test.

Apply