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Insurance Reviewer Jobs (NOW HIRING)

Springfield Clinic

Insurance Reviewer II

Springfield, IL · On-site

$18.22 - $26.42/hr

The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment from third-party payors and reporting to management on observed trends and issues. Job ...

Medix

Clinical Reviewer

Phoenix, AZ · On-site

$150/hr

Review escalated cases and render a final determination (agree/disagree with denial). * Assess ... Term Life Insurance Plan. * We will consider for employment all qualified Applicants, including ...

JDS Consulting, PLLC

PLAN REVIEWER

Greenville, SC · Remote

Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Life insurance * 9 Paid holidays * Paid time off (vacation, sick, bereavement, parental leave)

JDS Consulting, PLLC

PLAN REVIEWER

Raleigh, NC · On-site

Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Life insurance * 9 Paid holidays * Paid time off (vacation, sick, bereavement, parental leave)

JDS Consulting, PLLC

PLAN REVIEWER

Wilmington, NC · Remote

Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Life insurance * 9 Paid holidays * Paid time off (vacation, sick, bereavement, parental leave)

JDS Consulting, PLLC

PLAN REVIEWER

Raleigh, NC · On-site

Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Life insurance * 9 Paid holidays * Paid time off (vacation, sick, bereavement, parental leave)

JDS Consulting, PLLC

PLAN REVIEWER

Charlotte, NC · Remote

Position Summary The Plans Reviewer is to work collaboratively with other JDS employees in leading ... Life insurance * 9 Paid holidays * Paid time off (vacation, sick, bereavement, parental leave)

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Insurance Reviewer information

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$10

$29

$48

How much do insurance reviewer jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for insurance reviewer in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.

What does an insurance reviewer do?

An Insurance Reviewer is responsible for evaluating insurance claims, policies, and related documents to ensure compliance with company and regulatory guidelines. They review submitted claims to determine their validity, check for completeness and accuracy, and may communicate with policyholders or healthcare providers for additional information. Insurance Reviewers help prevent fraud, reduce errors, and ensure that claims are processed fairly and efficiently. Their work is crucial in maintaining the integrity and cost-effectiveness of an insurance company's operations.

What are the key skills and qualifications needed to thrive as an insurance reviewer, and why are they important?

To thrive as an Insurance Reviewer, you need strong analytical skills, attention to detail, and a solid understanding of insurance policies and regulations, often supported by relevant experience or a degree in business or finance. Familiarity with claims management systems, insurance software, and sometimes certifications like AINS (Associate in General Insurance) are typically required. Excellent communication, problem-solving abilities, and organizational skills help you manage cases efficiently and interact with clients or colleagues. These competencies ensure accurate claim assessments, compliance with industry standards, and high-quality customer service.

What are some common challenges faced by insurance reviewers and how can they be addressed?

Insurance Reviewers often encounter challenges such as interpreting complex policy language, managing high volumes of documentation, and staying updated with frequently changing regulations. To address these, many reviewers develop strong organizational skills, utilize specialized software to streamline document management, and participate in ongoing training or professional development. Collaborating closely with underwriters, claims adjusters, and legal teams also helps ensure accurate and timely policy assessments, reducing the risk of errors.
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What states have the most Insurance Reviewer jobs?

States with the most job openings for Insurance Reviewer jobs include:

What job categories do people searching Insurance Reviewer jobs look for?

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Insurance Reviewer jobs near you
Infographic showing various Insurance Reviewer job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, and 6% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $62,159 per year, or $29.9 per hour.

Insurance Reviewer-Clinical

The US Oncology Network

Wichita, KS • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

US Oncology rating

7.1

Company rating: 7.1 out of 10

Based on 109 frontline employees who took The Breakroom Quiz

379th of 895 rated healthcare providers

Job description

Overview
The Cancer Center of Kansas (CCK) is seeking a full-time, on-site Insurance Reviewer to join our team in our Wichita, KS offices. The typical work week is Monday through Friday, 8:30 AM - 5:00 PM with no major holidays, no on-call and no weekends.
As part of The US Oncology Network and with over 40 years being established in Kansas, CCK delivers quality, personalized cancer care to communities across the state. Our physicians and staff treat patients in over 18 locations throughout the state. Our management and physician teams continue to be recognized in our communities for Excellence in Healthcare! With our mission in mind, we value each and every employee for their life-saving expertise and the role they play in making our patients' lives as easy and comfortable as possible. Our employees are our most valuable resource. They help us create and continue to deliver on our mission.
In CCK's partnership with the US Oncology Network, one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America and supported by McKesson Corporation, we are able to extend an extremely competitive offering of benefits to employees, including:
  • Medical Health Care

  • Dental Care

  • Vision Plan

  • 401-K with a matching component

  • Life Insurance

  • Short-term and Long-term disability

  • FSA and HSA

  • Legal Insurance

  • Competitive Paid Time Off Plan

  • Wellness & Perks Programs

What does this position entail?
This role, under general supervision, reviews chemotherapy regimens and orders in accordance to reimbursement guidelines and standard of care adherence. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
Responsibilities
The essential duties and responsibilities of this position are:
  • Obtains prior authorization for scans, labs, subsequent chemotherapy visits or any other service as required.

  • Maintains a professional working relationship with co-workers, insurance companies and referring doctor offices.

  • Assists in receiving and reviewing orders from CCK providers to analyze if necessary to, and then when necessary, obtain prior-authorization.

  • Receives and reviews clinical documents within the electronic medical record ("EMR") in order to meet requirements for obtaining the authorization.

  • Services responsible for obtaining prior authorizations for may include radiology, laboratory, chemotherapy and injections.

  • Contacts referring physicians and facilities to obtain referrals for all services scheduled at CCK.

  • Provides clinical information to insurance companies and case managers as needed.

  • Coordinates peer to peer calls between physicians and insurance companies.

  • Assists in maintaining up to date information on insurance requirements for all authorization needs per payer.

  • Uploads and attaches authorizations and referrals to the practice management system ("PMS") and EMR as needed.

  • Contacts insurance companies through effectively navigating company websites, managed care portals and through methods such as phone and fax in order to complete prior authorization information requests for ordered services.

  • Timely and accurate entry of information in the PMS and EMR.

  • Follows the status of authorizations and referrals to ensure timely receipt.

  • Ability to multi-task and communicate through various mediums.

  • Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization.

  • Remains current on all compliance requirements and in part, demonstrates knowledge of Adheres to confidentiality, state, federal, and HIPPA (Health Insurance Portability and Accountability Act) laws and guidelines with regards to patient's records and information.

  • Attends required, applicable meetings.

  • Remains current on all compliance requirements.

  • Ensures all applicable policies and procedures of the company and Network are followed.

  • Other duties as requested or assigned including coverage within the department.

  • Performs other tasks as reasonably requested by a provider or member of the Management Team, as applicable to the role.

Supervisory Responsibilities:
  • None.

Qualifications
The ideal candidate for the position will have the following qualifications:
Minimum Qualifications:
  • High school degree or equivalent.

  • Associates degree in Healthcare or Business-related preferred.

  • Minimum three (3) years medical insurance verification and authorization required.

Competencies:
  • Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is regarded as an expert in the technical/functional area; accesses and uses other expert resources when appropriate.

  • Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience inn the face of constraints, frustrations, or adversity; demonstrates flexibility.

  • Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty.

  • Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.

  • Demonstrates Team-Oriented Characteristics: Fosters a positive and productive team environment by working effectively with others and offering help when able.

  • Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.

Physical Demands of the Job:
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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
Work Environment:
The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.

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