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Health Insurance Auditor Jobs in Texas (NOW HIRING)

Dalwadi Hospitality Management

Night Auditor

Houston, TX · On-site

$14.25 - $19/hr

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

Katy, TX · On-site

$13.75 - $18.25/hr

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

PDS Health

Auditor, Insurance Claims

Irving, TX · On-site

$22/hr

Now is the time to join PDS Health. You will have opportunities to learn new skills from our team ... The primary purpose and function of the Auditor, Insurance Claims is to adjudicate, re-bill and ...

Harris Health System

Senior Internal Auditor

Houston, TX · On-site

$92K - $116K/yr

... 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

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

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

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

... 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

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 Rittenhouse Hotel

Night Auditor

Irving, TX · 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 ...

New

Hersha Hospitality Management

Night Auditor

Arlington, TX · On-site

$13.50 - $18/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.

HHM Hotels

Night Auditor

Arlington, TX

$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

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.

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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 23, 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.

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 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 2% As Needed, 79% Full Time, 14% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $50,844 per year, or $24.4 per hour.

Health Insurance Customer Service Representative

NEW ERA LIFE INSURANCE COMPANY

Houston, TX • On-site

$18/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

Under 65 Health Claims Customer Service Representative (CSR)

Location: Main Office

Schedule: Monday–Friday, 8:00 a.m. – 5:00 p.m.

Job Type: Full-time | Status: Non-Exempt

Position Summary

The Under 65 Claims Customer Service Representative (CSR) is the first point of contact for members, providers, and agents, providing exceptional support related to health claims, benefits, and policy information. This role ensures timely, accurate, and compassionate service while helping customers navigate complex healthcare coverage. The ideal candidate demonstrates empathy, professionalism, and a strong commitment to improving the customer experience.

Key Responsibilities

Respond to inquiries from members, providers, and agents regarding claims, benefits, authorizations, and account details.

Deliver clear, accurate, and empathetic communication across all interactions.

Navigate internal systems efficiently to access and share relevant information.

Escalate complex or system-related issues to supervisors or specialized teams.

Explain policy details, coverage options, eligibility, limitations, and exclusions.

Guide customers through claims submissions, appeals, and self-service tools.

Investigate and resolve claim denials, benefit disputes, and billing discrepancies.

Apply critical thinking and active listening to identify issues and propose solutions.

Balance customer needs with company policies to ensure fair, compliant resolutions.

Accurately document all interactions and maintain up-to-date records in company systems.

Follow call center performance standards, including handling time, compliance, and quality metrics.

Stay informed on policy updates, regulatory changes, and company procedures.

Ensure strict compliance with HIPAA and confidentiality requirements.

Participate in ongoing training, coaching, and performance reviews.

Collaborate with trainers, auditors, and leadership to improve quality and efficiency.

Provide customer insights and feedback to support process improvement initiatives.

Qualifications

Required:

Excellent verbal and written communication skills, with strong empathy and active listening abilities.

Professional demeanor with the ability to remain calm under pressure.

Strong multitasking, problem-solving, and time management skills.

Dependable, adaptable, and team-oriented attitude.

Proficiency in Microsoft Outlook, Teams, and Word.

Legal authorization to work in the U.S.

Preferred:

1–3+ years of customer service or call center experience, ideally within the health insurance industry.

Education

High school diploma or equivalent required.

Work Environment

Professional office environment with standard hours (Monday–Friday, 8am–5pm).

Occasional extended hours during peak periods.

Frequent use of computers, phones, and standard office equipment.

Regular interaction with staff, leadership, and customers in a fast-paced setting.

Occasional lifting of up to 15 pounds (e.g., office supplies or equipment).

Hybrid or remote work options may be available based on business needs and company policy.

Company Benefits

Competitive salary with performance-based incentives

Comprehensive medical, dental, and vision insurance

Flexible Spending Account (FSA)

Company-paid life and disability insurance

401(k) with company match

Paid time off (vacation, sick leave, and holidays)

Employee wellness programs and resources

Supportive, collaborative work environment

Join our team and help make a difference in the lives of our members—one call at a time.

Apply