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Health Insurance Auditor Jobs in Kentucky (NOW HIRING)

ExlService Holdings, Inc.

$50 - $70/hr

Discounted health club benefits in many areas around the U.S. * Paid Parental Leave * Laptop and ... auditor role*** #J-18808-Ljbffr

Posted today

International Association of Insurance Professionals (IAIP)

$44 - $94/hr

Provides input and valuable feedback on auditing results, trends and improvement activities ... Health insurance, vision, and dental benefits * Opportunities for leadership development and ...

New

Utah County

$65 - $75/hr

Staff Internal Auditor Job Announcement: The County Auditor investigates all financial claims ... Benefits Package Includes: * 100% paid premiums for health insurance * Up to 6.2% match in your ...

New

The GEO Group Australia Pty Ltd.

$65 - $90/hr

Health Insurance * Vision Insurance * Life Insurance * Health Savings Account * Tuition ... The Compliance Auditor will serve as the day-to-day quality control auditor for validation of ...

Posted today

Ncdor

$62 - $107/hr

This auditor classification requires a transcript. Please include an official or unofficial ... Employees can participate in health insurance options, standard and supplemental retirement plans ...

Electromac

Quality Auditor

Bowling Green, KY · On-site

The Quality Auditor is responsible for the final stages of the manufactured product before shipping ... opportunity, health insurance, retirement plan, education assistance, paid time off and more.

Electromac

Quality Auditor

Bowling Green, KY · On-site

The Quality Auditor is responsible for the final stages of the manufactured product before shipping ... opportunity, health insurance, retirement plan, education assistance, paid time off and more.

Highmark Health

$47 - $75/hr

Senior most coding auditor who evaluates medical records to determine the accuracy of coding ... In connection with this, all employees must comply with both the Health Insurance Portability ...

New

HHM Hotels

Night Auditor

Louisville, KY

$16 - $19/hr

Night Auditor Balance revenue and settle accounts nightly, maintain files, and reset the system for ... Free Basic Life Insurance * 24/7 access to TELUS Health, a confidential work-life resource.

Ncdor

$50 - $88/hr

This auditor classification requires a transcript. Please include an official or unofficial ... Employees can participate in health insurance options, standard and supplemental retirement plans ...

Arts In Wilmington

$50 - $88/hr

This auditor classification requires a transcript. Please include an official or unofficial ... Employees can participate in health insurance options, standard and supplemental retirement plans ...

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All JobsHealth Insurance Auditor JobsHealth Insurance Auditor Jobs in Kentucky

Health Insurance Auditor information

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$15

$22

$39

How much do health insurance auditor jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for health insurance auditor in Kentucky is $22.79, according to ZipRecruiter salary data. Most workers in this role earn between $16.06 and $29.86 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.

What are popular job titles related to Health Insurance Auditor jobs in Kentucky?

For Health Insurance Auditor jobs in Kentucky, the most frequently searched job titles are:

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

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

Health Insurance Auditor jobs near you
Infographic showing various Health Insurance Auditor job openings in Kentucky as of August 2026, with employment types broken down into 2% As Needed, 74% Full Time, 18% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $47,399 per year, or $22.8 per hour.

Master Premium Insurance Auditor - Remote

ExlService Holdings, Inc.

On-site

$50 - $70/hr

Other

Medical, Retirement, PTO

Posted 22 hours ago

Posted today

ExlService Holdings rating

7.8

Company rating: 7.8 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

138th of 500 rated business services

Job description

About the EXL Insurance Premium Audit Group:

A leader in the field, EXL can complete all levels of premium audits on all auditable exposure types. We train our 450+ highly skilled professionals worldwide utilizing our industry-leading training platform and curriculum.

This expertise is combined with a technology-enabled proprietary platform, with predictive modeling capabilities.

Using a Premium Audit selection model, the team can predict the likelihood of policy misclassification, automatically assign audit methods to save carriers time and money, and use machine learning to continuously improve correlation and prediction accuracy.

To learn more about the EXL Insurance Premium Audit Group visit us at www.exlservice.com/industries/insurance/premium-audit

Why work for the EXL Insurance Premium Audit Team?
  • 17 days paid vacation, plus 8 paid holidays
  • Additional 10 paid sick days
  • Superb training program
  • Work from home
  • Competitive total compensation package and benefits with 401k
  • Career advancement opportunities
  • Discounted health club benefits in many areas around the U.S.
  • Paid Parental Leave
  • Laptop and other necessary office equipment provided
Compensation:
  • Pay Type: Hourlyplusproduction bonus incentives,inaccordance with EXL's policies
  • Total compensation for this position, which is a combination of an hourly base rateplusproduction bonus incentives, is targeted between $50K-$70K in total earningswithin the first year.
    • Hourly base rate is dependent upon job specific experience and location.
    • There is no cap on production bonus incentives

The posted range is the hiring range for this role - a subset of the broader range available to employees over time - and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.

***Applicants must have at least 2 years of experience in a premium auditor role***

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