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Health Insurance Auditor Jobs (NOW HIRING)

ReSource Pro

Field Auditor Premium Insurance

Modesto, CA · On-site

$21 - $26/hr

Your Benefits & Perks: * 100% paid employee health insurance available on Day 1 * Eligible for all ... active and engaged auditors regularly earn well above the base rate. Actual earnings are ...

ReSource Pro

Field Auditor Premium Insurance

Modesto, CA · On-site

$21 - $26/hr

Your Benefits & Perks: * 100% paid employee health insurance available on Day 1 * Eligible for all ... active and engaged auditors regularly earn well above the base rate. Actual earnings are ...

ReSource Pro

Field Auditor Premium Insurance

Fremont, CA · On-site

$21 - $26/hr

Your Benefits & Perks: * 100% paid employee health insurance available on Day 1 * Eligible for all ... active and engaged auditors regularly earn well above the base rate. Actual earnings are ...

ReSource Pro

Field Auditor Premium Insurance

Fremont, CA · On-site

$21 - $26/hr

Your Benefits & Perks: * 100% paid employee health insurance available on Day 1 * Eligible for all ... active and engaged auditors regularly earn well above the base rate. Actual earnings are ...

Dalwadi Hospitality Management

Night Auditor

Katy, TX

$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

Iowa Specialty Hospital

Payment Auditor

Clarion, IA · On-site

Description Full Time Payment Auditor Position Available. Monday-Friday 8:30a- 5p (Hours are ... Health Insurance (Wellmark BCBS) Dental Insurance (Delta Dental) Vision Insurance (Delta Vision ...

Residence Inn Marriott

Night Auditor

Knoxville, TN

$14.25 - $19/hr

As a Night Auditor, you will have a direct impact on the overall experience of our hotel guests and ... Health insurance * Dental insurance * Vision insurance * 401(k) * Employee discount

Berkley

Insurance Premium Auditor

Scottsdale, AZ · On-site +1

Our Health Savings Accounts have automatic company contributions if you sign up, and we offer ... Communicates directly with insured's and their representatives to resolve audit disputes and ...

Berkley

Insurance Premium Auditor

Scottsdale, AZ · On-site +1

... Our Health Savings Accounts have automatic company contributions if you sign up, and we offer ... Communicates directly with insured's and their representatives to resolve audit disputes and ...

Berkley

Insurance Premium Auditor

Scottsdale, AZ · On-site

... Our Health Savings Accounts have automatic company contributions if you sign up, and we offer ... Communicates directly with insured's and their representatives to resolve audit disputes and ...

State of South Dakota

Legislative Auditor

Aberdeen, SD · On-site

$63K - $66K/yr

Job ID: 35202 - Legislative Auditor Agency: Department of Legislative Audit Location: Aberdeen ... Health Insurance ($0 employee-only premium option) * Well-Being Program * Employee Assistance ...

Suffolk County, NY

Auditor TRAINEE

Hauppauge, NY · On-site

$47K - $77K/yr

Suffolk County Government Is Currently Seeking Auditor Trainees After one (1) year of continuous ... Health Insurance: Suffolk offers a comprehensive health insurance plan, including medical, dental ...

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Health Insurance Auditor information

See salary details

$17

$26

$45

How much do health insurance auditor jobs pay per hour?

As of Jun 10, 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 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 are the key skills and qualifications needed to thrive as a Health Insurance Auditor, and why are they important?

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.

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 June 2026, with employment types broken down into 1% As Needed, 93% Full 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.
Field Auditor Premium Insurance

Field Auditor Premium Insurance

ReSource Pro

Modesto, CA • On-site

$21 - $26/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Job description

Looking for a career where attention to detail meets meaningful client impact? We’re hiring a Remote Physical Auditor to play a key role in ensuring accurate and compliant insurance audits.
​
Come Join ReSource Pro!

Your Role:
ReSource Pro is seeking a Remote Physical Auditor to join our Premium Services Audit team. In this role, you’ll conduct in-person and virtual premium audits with insured businesses to ensure accurate classification and reporting of Workers’ Compensation and General Liability exposures. You’ll gather data through onsite visits, interviews, and facility walkthroughs.
We hire the best because our service is only as good as the people delivering it. We’re committed to hiring individuals who engage in our amazing culture and embrace our Core Values: Commitment to Community, Teamwork, Passion for Excellence, Service-Centric, and Best Self.
In this role, you will:
  • Scheduling and conducting onsite and virtual audits with insured clients, including interviews, walkthroughs, and verification of business operations. Regular travel is required. Team members should expect to drive up to one hour each way to reach their assigned sites.
  • Collecting, organizing, and verifying documentation via secure portals, email, or follow-up calls/virtual meetings.
  • Preparing and submitting detailed audit reports that meet time service expectations.
  • Maintaining clear and professional communication with insureds and internal stakeholders throughout the process.
  • Identifying and escalating issues that could impact client satisfaction or carrier relationships.
  • Collaborating with colleagues and leaders to uphold quality standards and a positive, respectful workplace culture.

What you need to be successful:
  • *Candidates must reside in or in the immediate area of Modesto, Turlock, or Merced, CA.
  • Ability to travel up to one hour each way to reach assigned audit sites.
  • High School Diploma or GED.
  • 3–5 years of work experience, ideally in auditing, accounting, insurance, or a client-facing role preferred.
  • 1–2 years of independent field-based work experience preferred.
  • Strong organizational and time-management skills with the ability to meet deadlines.
  • Proficiency with audit systems and tools; comfort using video conferencing platforms (e.g., Zoom, Microsoft Teams, Nexus).
  • Excellent communication and interpersonal skills for building client relationships.
  • Ability to analyze data, spot discrepancies, and explain findings clearly.
  • A proactive, professional, and detail-oriented approach.

Your Benefits & Perks:
  • 100% paid employee health insurance available on Day 1 
  • Eligible for all medical, dental, and vision benefits on Day 1 
  • Remote positions are Internet stipend-eligible 
  • 401k with employer match, vested on Day 1 
  • HSA/FSA available 
  • Long Term and short-term disability employer-provided 
  • Generous PTO plan with paid holidays + floating holidays 
  • Development and growth opportunities 
  • Comprehensive wellness program and prioritization of employee health 

Your Compensation:
Our hourly ranges are based on paying competitively for our size and industry, and are one part of the total compensation package that also includes benefits and other opportunities at ReSource Pro. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity relative to other ReSource Pro employees.
This is a remote position, and the hourly range for most locations for this role is $17.25 to $18.67 per hour. Most full-time employees earn an additional $175–$350 per week, bringing total potential earnings to approximately $21–$26 per hour. These additional earnings are consistently achieved by employees who meet standard performance expectations, meaning that active and engaged auditors regularly earn well above the base rate. Actual earnings are performance-based, may vary, and are not guaranteed.
The hourly range may vary based on experience and on the specific geographic location in which the candidate resides.
Your Interview Process:
To be considered for this position, please submit your application. If you meet the qualifications for the role, a member of our Talent Acquisition team will be in touch to schedule an interview via zoom. The standard interview process includes:
  • Behavioral interview with Talent Acquisition
  • Online talent assessment
  • Hiring Manager interview
*Additional interview steps may be added depending on the position or if further evaluation is needed.
Disclosure: Candidates are evaluated at each step of the process. As a result, not every candidate will complete all steps in the process.

About ReSource Pro:

Focused exclusively on the insurance industry, ReSource Pro is the trusted partner insurance organizations rely on to optimize performance, streamline operations and process engineering, and drive growth. Serving 2,000+ carriers, brokers, wholesalers, and MGAs, ReSource Pro is a recognized market leader in insurance workflow optimization, data and technology services, and strategic operating model transformation. Maintaining a 96%+ client retention rate for over a decade, ReSource Pro is the only firm serving the insurance industry to have earned a spot on the Inc. 5000 list 16 times—placing it among the top 0.02% of repeat honorees across all sectors in the Inc. list’s 40+ year history.

Equal Employment Opportunity Policy

ReSource Pro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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