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Insurance Nurse Jobs in Texas (NOW HIRING)

) Insurance Biller 100% On Site StoneGate Senior Living Lewisville, TX StoneGate Senior Living , a leading provider of Long-Term Care, Skilled Nursing and Rehabilitative Care in Lewisville, TX has an ...

Insurance Specialist

Houston, TX · On-site

$17.60 - $20.80/hr

... Nurses first and ensures a seamless travel experience. Minimum Requirements: 1 year full time ... Insurance experience within the last 2 years. SkyBridge Healthcare offers industry leading benefits ...

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Showing results 1-20

Insurance Nurse information

See Texas salary details

$21.9K

$55.1K

$90.8K

How much do insurance nurse jobs pay per year?

As of Aug 18, 2026, the average yearly pay for insurance nurse in Texas is $55,056.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,700.00 and $72,200.00 per year, depending on experience, location, and employer.

What is an insurance nurse?

Insurance nurses, also known as insurance nurse consultants or nurse case managers, are registered nurses who work for insurance companies to assess, review, and manage the medical aspects of insurance claims. They evaluate patient records, coordinate care, and ensure that treatments are medically necessary and cost-effective. Their expertise helps insurance companies make decisions about coverage, benefits, and claims while also supporting patients through care management and education. Insurance nurses often communicate with healthcare providers, patients, and claims adjusters to facilitate the claims process.

What are the key skills and qualifications needed to thrive as an insurance nurse?

To thrive as an Insurance Nurse, you need a solid clinical background (often as a Registered Nurse), strong assessment skills, and knowledge of insurance and medical underwriting processes. Familiarity with electronic health record (EHR) systems, medical coding, and claims management software is commonly required. Excellent communication, analytical thinking, and attention to detail are critical soft skills for evaluating medical information and interacting with clients and insurance professionals. These abilities ensure accurate risk assessment, effective case management, and compliance with regulatory standards in the insurance industry.

How does an insurance nurse typically collaborate with underwriters and claims adjusters?

Insurance Nurses play a crucial role in supporting underwriters and claims adjusters by reviewing medical records, evaluating patient histories, and providing expert insights on health-related risks. They frequently communicate their assessments to underwriters to help determine policy eligibility and premiums, and assist claims adjusters by verifying the validity and extent of medical claims. Effective collaboration requires strong communication skills and the ability to translate complex medical information into clear, actionable recommendations, ensuring that both the clinical and administrative aspects of insurance decisions are well-informed.

What is the difference between Insurance Nurse vs Case Manager Nurse?

AspectInsurance NurseCase Manager Nurse
CertificationsRN license, possibly insurance-specific trainingRN license, case management certification often preferred
Work EnvironmentInsurance companies, healthcare insurance departmentsHospitals, clinics, insurance companies, community health
Primary FocusReviewing insurance claims, verifying coverageCoordinating patient care, managing treatment plans

Insurance Nurses primarily focus on reviewing insurance claims and verifying coverage within insurance companies or departments. In contrast, Case Manager Nurses coordinate patient care and develop treatment plans, often working directly with patients and healthcare providers. While both roles require RN licensure, Insurance Nurses typically have specialized training related to insurance processes, whereas Case Manager Nurses often pursue additional case management certifications. Understanding these differences helps clarify career paths and job expectations in the healthcare and insurance industries.

What are the most commonly searched types of Insurance Nurse jobs in Texas?

The most popular types of Insurance Nurse jobs in Texas are:

What cities in Texas are hiring for Insurance Nurse jobs?

Cities in Texas with the most Insurance Nurse job openings:

Infographic showing various Insurance Nurse job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $55,056 per year, or $26.5 per hour.

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 21 days ago


Job description

) Insurance Biller
100% On Site
StoneGate Senior Living
Lewisville, TX
StoneGate Senior Living, a leading provider of Long-Term Care, Skilled Nursing and Rehabilitative Care in Lewisville, TX has an opportunity for an Insurance Biller with Managed Care Insurance experience to join our team! A rewarding career is waiting for you with a company that specializes in long-term and rehabilitative care! If you are an experienced Insurance Biller with Managed Care experience, we have the opportunity for you. This is not a remote position.
As the Insurance Biller you are responsible for verifying, facilitating insurance authorizations, and billing via UB04s for Skilled Nursing patients. Duties may also include communicating with clinical liaisons, insurance carriers, and Skilled Nursing Facilities. The specialist will verify patients' demographics, gathering and recording pertinent information, conform insurance/payor benefits, review preauthorization and complete processes and bill inpatients to the Skilled Nursing Facilities. Follow-up on all claims, moving copays, posting cash, appeals for non-paid claims and work all balances.
Come be a part of our mission to provide superior clinical care, rehabilitation, wellness, and supportive services that meet the wants, needs, and expectations of our patients and residents. We offer competitive compensation, health, dental, and vision insurance, company paid life insurance, holiday pay, paid time off, employee appreciation events and much more. We look forward to you joining our team!
Responsibilities:
  • Understanding of SNF billing requirements and systems.
  • Bills Insurance via UB04 detailed billing, non-episodic
  • Tie NOMNCs to Insurance Authorization for billing and appeals.
  • Full understand of ISNP systems and ability to bill per guidelines
  • Detailed UB04/837 understanding
  • Manage large load of claims from multiple facilities within deadlines
  • Work closely with Team Members and billing issue resolutions
  • Communicates effectively with clinical reimbursement
  • Knowledge/understanding of Pharmacy exclusions and related billing procedures
  • Post incoming remits and balance books
  • Understand basic accounting knowledge and processes
  • Working knowledge of national insurance clearing house systems
  • Contact patient's insurance to confirm and determine amount of coverage and benefits, deductible due, length of stay and if authorization is required.
  • Communicates authorization status electronically and verbally if needed. .
  • Maintains open communication with Team Members and Clinical Liaisons to ensure teamwork, cooperation and mutual respect.
  • *****This is not a Coder position*******

Requirements:
  • High school diploma. College degree in Business preferred
  • Basic Accounting/bookkeeping skills needed.
  • UB04 experience required
  • Must have Managed Care Insurance experience.
  • Experience in Skilled Nursing authorizations preferred.
  • Strong knowledge and understanding of Medicare, Managed Care, HMO/PPO plans and authorization/referral requirements.
  • Ability to understand medical terminology.
  • Ability to multi-task and prioritize duties.
  • Strong Excel skills
  • Excellent organizational skills.
  • Uses a computer proficiently.
  • Speaks and communicates English effectively, both in verbal and written format.
  • *****Note: this is NOT a coder position*****