ZipRecruiter

Log In

1

Health Insurance Auditor Jobs in Texas (NOW HIRING)

6 Degrees Health

Audit Verifier I

Amarillo, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... for auditing and examining suspected insurance medical, dental and long-term care claim ... Strives to uphold the core values of 6 Degrees Health - DMR, Be Polite, Be Persistent, and Be ...

6 Degrees Health

Audit Verifier I

Amarillo, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... for auditing and examining suspected insurance medical, dental and long-term care claim ... Strives to uphold the core values of 6 Degrees Health - DMR, Be Polite, Be Persistent, and Be ...

Dalwadi Hospitality Management

Night Auditor

Katy, TX · On-site

$13.75 - $18.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

Dalwadi Hospitality Management - Immediate Night Auditor Position Are you a night owl who thrives ... Health insurance * Dental insurance * Vision insurance * Life insurance * Employee discount

Dalwadi Hospitality Management

Night Auditor

Houston, TX · On-site

$14.25 - $19/hr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

Dalwadi Hospitality Management - Immediate Night Auditor Position Are you a night owl who thrives ... Health insurance * Dental insurance * Vision insurance * Life insurance * Employee discount

Harris Health System

Senior Internal Auditor

Houston, TX · On-site

$92K - $116K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

... Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP ... The Senior Internal Auditor executes audits in financial, operational, and compliance areas to ...

Oscar Health

Auditor, Risk Adjustment

Dallas, TX · Remote

$82K - $108K/yr

Oscar is the first health insurance company built around a full stack technology platform and a ... The Associate, Risk Adjustment Auditor conducts internal and external quality audits. Quality ...

Phenom People

Night Auditor

Humble, TX · On-site

$12.50 - $16.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Night Auditor Opportunity: Night Auditor Balance revenue and settle accounts nightly, maintain ... Medical, Dental and Vision Health Insurance * Paid Time Off * 401k Company Match * Free Basic Life ...

ArcelorMittal

Senior Internal Auditor

Portland, TX · On-site

$68K - $84K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Work must follow ArcelorMittal SOx methodology, PCAOB standards, and external auditor guidance ... health insurance, prescription drug coverage, dental, vision, life, and disability insurance.

ArcelorMittal

Senior Internal Auditor

Portland, TX · On-site

$68K - $84K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Work must follow ArcelorMittal SOx methodology, PCAOB standards, and external auditor guidance ... health insurance, prescription drug coverage, dental, vision, life, and disability insurance.

The GEO Group

COMPLIANCE AUDITOR, FOOD SERVICE

Laredo, TX · On-site

$60K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Health Insurance • Vision Insurance • Life Insurance • Health Savings Account • Tuition ... Responsibilities Summary The Compliance Auditor, Food Service will serve as the primary auditor for ...

The Rittenhouse Hotel

Night Auditor

El Paso, TX · On-site

$13.50 - $18/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Harris Health System

Senior IT Internal Auditor

Houston, TX · On-site

$107K - $134K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

... Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP ... The Senior Internal Auditor determines whether organizational areas are performing in accordance ...

Hersha Hospitality Management

Night Auditor

Arlington, TX · On-site

$13.50 - $18/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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.

HHM Hotels

Night Auditor

El Paso, TX · On-site

$13.50/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.

The Rittenhouse Hotel

Night Auditor

Arlington, TX · On-site

$13.50 - $18/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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.

HHM Hotels

Night Auditor

Arlington, TX · On-site

$16/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.

Hersha Hospitality Management

Night Auditor

El Paso, TX · On-site

$13.50 - $18/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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.

next page

Showing results 1-20

All JobsHealth Insurance Auditor JobsHealth Insurance Auditor Jobs in Texas

Health Insurance Auditor information

See Texas salary details

$16

$24

$42

How much do health insurance auditor jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for health insurance auditor in Texas is $24.44, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $32.02 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.

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, along with experience in insurance or healthcare. Professional certifications such as Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) can enhance job prospects, and strong analytical skills are essential for the role.

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 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 verify that reimbursements align with coverage policies, often working with healthcare providers and insurance companies to identify discrepancies.

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 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.

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

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

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

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

What cities in Texas are hiring for Health Insurance Auditor jobs?

Cities in Texas with the most Health Insurance Auditor job openings:

Health Insurance Auditor jobs near you
Infographic showing various Health Insurance Auditor job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $50,844 per year, or $24.4 per hour.

Audit Verifier I

6 Degrees Health

Amarillo, TX • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Job description

Job Type
Full-time
Description
Classification: Non-Exempt
Level: Tier I
Pay Range: Depends on Experience level
Reports to: Audit Supervisor
JOB DESCRIPTION
Summary/Objective
This position is responsible for auditing and examining suspected insurance medical, dental and long-term care claim overpayments that we identify on behalf of our insurance carrier clients. To be successful in this position, you must be self-motivated, detail oriented and independent.
Summary/Objective
This position is responsible for auditing, verifying and examining suspected insurance for medical, dental and long-term care claim overpayments that we identify on behalf of our insurance carrier clients. To be successful in this position, you must be self-motivated, detail oriented and independent.
Essential Functions
  • Verifies insurance data by reviewing spreadsheets, policy documents, and systems to identify overpayments;
  • Conducts detailed audits of insurance records and transactions;
  • Communicate with team members to train, support, and collaborate in the determination process of verifying information;
  • Ensures claims are reviewed and processed in a timely manner;
  • Possesses a strong attention to detail and identifies trends within files;
  • Provides written feedback with findings and recommendations on completed programs;
  • Ensures compliance with industry standards and regulatory requirements;
  • Collaborates with other departments to resolve audit findings;
  • Maintains current knowledge of insurance regulations and standards;
  • Responds to questions related to assigned insurance carrier;
  • Strives to uphold the core values of 6 Degrees Health - DMR, Be Polite, Be Persistent, and Be Proactive
  • Achieves daily, weekly, and monthly audit metrics;
  • Maintains an average of no more than four Never Overpaid True Audit Errors per month;
  • Understands how to review dental, medical and long-term claims and policy documents;
  • Audits the following overpayment programs: Claim Voids, True Duplicates, Adjustments, US Senior Care, and Terminated Policies; and
  • Performs other duties as assigned.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Requirements
Competencies
  • Ability to perform the essential job functions
  • Professionalism
  • Communication Proficiency - written and verbal communication
  • Must positively respond to coaching, mentoring and feedback
  • Customer/Client Focus
  • Problem Solving/Analysis
  • Ability to multitask
  • Committed to the mission of the company
  • Dedicated to the core values of the company
  • Attention to Detail
  • Must exhibit high levels of communication, teamwork, professionalism, reliability, respect, etc.)
  • Must have a basic level of polices & procedures

Supervisory Responsibility
This position has no supervisory responsibilities
Required Education and Experience
  • High school diploma or equivalent.
  • Two years of experience with Microsoft Excel is required.
  • Possess excellent interpersonal skills, oral and written communication skills.
  • Be able to work independently.
  • Must be able to focus on the task at hand for an entire day.
  • Be detail oriented, accurate, efficient, and precise in completing the tasks associated with the position.

Preferred Education and Experience
  • Post high school education or certification is preferred.
  • Experience reviewing dental, Medicare/Medicaid billing or auditing is preferred.
  • Proficiency with technology, especially computers and software applications. Have intermediate knowledge of Microsoft Excel and Word. Mainframe, "green screen" experience is preferred.
  • One year or more of experience with insurance claims examination or processing is highly preferred.
  • United Healthcare Dental

Eligibility Qualifications
  • Passing of skill test will be required.
  • Intermediate Windows & MS Office Skills are mandatory.
  • Must attend all days of onboarding training. If unable to attend all days of the training which are held in the first 30 days, the applicant will be rescheduled for the next available training. If unable to attend all days of the rescheduled training, the employee will be released from employment.

Internal Candidate Eligibility Qualifications
  • Must be regular employee who has completed their introductory period.
  • Cannot have any written warnings or performance improvement plans currently in place.
  • Problem-solving initiative in an 6 Degrees Health-DMR role as documented by their department director and/or performance evaluations.

Work Authorization
Candidates selected will be subject to a pre-employment background investigation (drug test, credit check, reference verification) and skills test.
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Compensation and Benefits
There will be an attractive compensation package that is commensurate with experience. 6 Degrees Health - DMR offers a full suite of benefits for full time employees. Those benefits include medical, dental, vision, life, LTD, 401k, PTO and holiday pay. Join our growing team based exclusively in Amarillo, Texas.
Position Type/Expected Hours of Work
This is a full-time position. Days and hours of work are Monday through Friday, 8 a.m. to 5 p.m. This position requires 40 hours per week with some time outside of the normal hours.
Travel
No travel is expected for this position.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee will be required to sit for extended periods of time and is frequently required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.
  • This position requires sitting over 66% of the time.
  • This position requires Visual Acuity at 20 inches (or less) over 66% of the time.

AAP/EEO Statement
6 Degrees Health (DMR) is an affirmative action/equal opportunity employer (AA/EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, sexual orientation, disability status, genetic information, protected veteran status or any other characteristic protected by federal, state or local law.

Apply