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Insurance Auditor Physical Therapy information

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$17

$26

$45

How much do insurance auditor physical therapy jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for insurance auditor physical therapy 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 an insurance auditor physical therapy?

Insurance Auditor Physical Therapy jobs involve reviewing and verifying the billing, documentation, and compliance of physical therapy services submitted to insurance companies. These professionals ensure that claims are accurate, adhere to regulatory guidelines, and prevent fraud or overbilling. They analyze patient records, treatment plans, and billing codes to confirm that services provided match what was billed. Insurance auditors may work directly for insurance companies, third-party agencies, or as independent consultants.

What are the key skills and qualifications needed to thrive as an insurance auditor physical therapy?

To excel as an Insurance Auditor for Physical Therapy, you need a strong understanding of healthcare billing, coding (such as CPT/ICD-10), and regulatory compliance, usually supported by a degree in healthcare administration or a related field. Familiarity with auditing software, electronic health records (EHRs), and knowledge of Medicare/insurance guidelines are essential, and certifications like Certified Professional Medical Auditor (CPMA) can be valuable. Attention to detail, analytical thinking, and effective communication are crucial soft skills for identifying discrepancies and collaborating with providers. These competencies ensure accurate claim reviews, minimize fraud or errors, and help maintain compliance with industry standards.

What are some common challenges faced by insurance auditors specializing in physical therapy claims?

Insurance Auditors in the physical therapy sector often encounter challenges such as interpreting complex medical documentation, staying updated with frequently changing billing regulations, and ensuring compliance with both payer and federal guidelines. They may also need to effectively communicate audit findings to both clinical staff and insurance providers, sometimes navigating disagreements or clarifying misunderstandings. Strong attention to detail and ongoing education in both insurance and clinical coding standards are essential to succeed in this role.

What is the difference between Insurance Auditor Physical Therapy vs Insurance Claims Adjuster?

AspectInsurance Auditor Physical TherapyInsurance Claims Adjuster
Required CredentialsLicenses or certifications in physical therapy, auditing experienceAdjuster licenses, insurance certifications
Work EnvironmentHealthcare settings, insurance companies, remote auditingInsurance companies, claims offices, remote or field work
Employer & Industry UsageHealthcare insurers, third-party administratorsInsurance carriers, third-party administrators
Common Search & Comparison IntentAuditing physical therapy claims, verifying therapy billingEvaluating insurance claims, settling claims

Insurance Auditor Physical Therapy focuses on reviewing and verifying physical therapy claims for accuracy and compliance, often requiring healthcare and auditing credentials. Insurance Claims Adjusters handle a broader range of insurance claims, including health, auto, and property, with a focus on evaluating and settling claims. While both roles involve insurance and claims processing, their work environments and specific expertise differ significantly.

What cities are hiring for Insurance Auditor Physical Therapy jobs?

Cities with the most Insurance Auditor Physical Therapy job openings:

What states have the most Insurance Auditor Physical Therapy jobs?

States with the most job openings for Insurance Auditor Physical Therapy jobs include:

Insurance Auditor Physical Therapy jobs near you

Premium Insurance Auditor

Rome, NY • On-site

ARMStrong Insurance Services
See more jobs at ARMStrong Insurance Servicesexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted yesterday

Job description

ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, SubroIQ, and NEIS, each a powerhouse in their own right, providing specialized expertise in debt management and financial services.
NEIS, LLC a leader in the insurance audit and loss control prevention industry since 1945 is seeking a Premium Auditor to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers. As a premium auditor, your primary responsibilities will be looking for evidence of fraud and checking that insured businesses adhere to regulations. You will work from home but are required to travel to each policyholder's location within a limited territory.
Job Responsibilities: 

  • Conduct premium audits for Workers’ Comp, General Liability, Garage, and Auto policies
  • Review financial records and apply audit standards
  • Schedule and perform on-site audits within assigned territory
  • Communicate with policyholders to gather required documentation
  • Identify discrepancies and ensure compliance
  • Prepare and submit audit reports
Job Requirements:
  • Associate’s degree or equivalent experience preferred
  • 2+ years of premium audit experience (preferred)
  • Strong analytical and communication skills
  • Proficiency in Microsoft Excel and Word (Visual Audit and Nexus Audit a plus)
  • Valid driver’s license and reliable transportation
  • Personal auto insurance meeting minimum requirements: $100,000 bodily injury per person; $300,000 per accident (or $300,000 combined single limit)

Compensation and Benefits:
  • Benefit package with health, dental, vision, 401k and more
  • Exceptional training program
  • Flexible schedule
  • Continuing education reimbursements for premium auditing certifications with bonuses after completion
  • Generous paid time off policy and 7 paid holidays 
  • Mileage Reimbursements
  • Compensation consists of base wage and production bonus paid weekly
    • Billable hour rates vary based on experience and knowledge – range is $44 -$50 per billable hour
    • Earning potential is only limited by your drive and resilience - potential of $75k+

We look forward to you joining our team!
#PremiumAuditor #InsuranceAuditor #InsuranceJobs #WorkersComp #WorkersCompensation #CommercialInsurance #InsuranceIndustry #RiskManagement #RiskAssessment #PremiumAudit #InsuranceCareers #InsuranceProfessionals #Underwriting #PolicyCompliance #AuditProfessionals #Floyd #Churchville #EastVerona #Westmoreland #LakeDelta

ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical​​​ condition, pregnancy, genetic information, gender, sexual orientation, gender identity or ​expression, veteran status, or any other status protected under federal, state, or local law.

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