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Health Insurance Auditor Jobs in Kentucky (NOW HIRING)

Night Auditor

Louisville, KY · On-site

$14.50 - $19.25/hr

Night Auditor Balance revenue and settle accounts nightly, maintain files, and reset the system for ... Health Insurance Paid Time Off 401k Company Match Daily Pay Free Basic Life Insurance 24/7 access ...

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.

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.

Night Auditor

Louisville, KY · On-site

$14.50 - $19.25/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.

Night Auditor

Louisville, KY · On-site

$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.

Night Auditor

Louisville, KY · On-site

$14.50 - $19.25/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.

$80 - $110/hr

... Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and ... Sentara Health is an equal opportunity employer** and prides itself on the diversity and ...

$79 - $96/hr

... sponsored health insurance programs--including Medicare, Medicaid, and PACE (Program of All ... The SIU Code Auditor will conduct coding audits of medical records provided by providers to check ...

Posted today

As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted ... insurance, supplemental health protection plans, auto and home insurance, legal counseling ...

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.

Sr. IT Auditor

Lexington, KY · On-site

$79K - $104K/yr

The Senior IT Auditor role is responsible for identifying and evaluating key IT, Cybersecurity and ... Health insurance plans (medical, dental, vision) * HSA and flexible spending accounts * 401(k)

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Showing results 1-20

Health Insurance Auditor information

See Kentucky salary details

$15

$22

$39

How much do health insurance auditor jobs pay per hour?

As of Aug 23, 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:

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.

Premium Insurance Field Auditor

ExlService Holdings, Inc.

Lexington, KY • Hybrid

Full-time

Medical, Retirement, PTO

Posted 8 days ago


ExlService Holdings rating

7.8

Company rating: 7.8 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

135th of 496 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?

No experience? No problem! We provide up to 8 weeks of paid training, depending on experience

17 days paid vacation, plus 8 paid holidays

Additional 10 paid sick days

Superb training program

Work from home when not in the field

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: Hourly plus production bonus incentives, in accordance with EXL's policies

Total compensation for this position, which is a combination of an hourly base rate plus production bonus incentives, is targeted between $40K-$60K in total earnings within the first year.:

Hourly base rate is dependent upon job specific experience and location.

There is no cap on production bonus incentives

To view our total rewards offered click here -> https://www.exlservice.com/us-careers-and-benefits 

Qualifications:

MUST be in current possession of reliable transportation and a valid driver's license

Ability to work independently from home

Experience with the MS Office Suite (excel, word, outlook, etc.)

Must be self-motivated, self-disciplined and exhibit a willingness to learn

Excellent time management

Excellent verbal and written communication skills

Working knowledge of insurance and / or basic accounting principles is a plus

High School Diploma or GED required.

#RSREXL

Base Salary Range Disclaimer:

The base salary range represents the low and high end of the EXL salary range for this position. Actual salaries will vary depending on factors including but not limited to location and experience.

The base salary range listed is just one component of EXL's total compensation package for employees.

Other rewards may include bonuses, a Paid Time Off policy, and many region-specific benefits.

RSREXL

Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy.

EEO/Minorities/Females/Vets/Disabilities

Application & Interview Impersonation Warning - Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc. (the "Company") for yourself or for the other individual is a crime. We have implemented measures to deter and to uncover such unlawful conduct. If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s). EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied. While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate's full profile. As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL.

The Role and Responsibilities:

The Premium Insurance Field Auditor conducts insurance policy audits for Worker's Compensation, Auto and General Liability policies.

This is done by auditing the policyholder's records according to client company standards.

If you are looking for a fast paced, self-motivating work environment from home, this job may be for you!

Working from your home office, this role requires scheduling appointments with the insured to be audited, and travel on an average of 4 days per week within your assigned territory to meet with the insured and obtain necessary documentation for our insurance company client audits all while adhering to customer requirements and quality standards.

Territory: Lexington, KY. and surrounding areas


What ExlService Holdings employees say

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Hours and flexibility

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