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Insurance Reviewer Jobs (NOW HIRING)

Insurance Reviewer

Eugene, OR · On-site

$22 - $32/hr

Overview Insurance Reviewer - Clinical Willamette Valley Cancer Institute is looking for an Insurance Reviewer to support our patients receiving testing and treatment needed for their diagnosis by ...

Overview Insurance Reviewer - Clinical Willamette Valley Cancer Institute is looking for an Insurance Reviewer to support our patients receiving testing and treatment needed for their diagnosis by ...

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 ...

PLAN REVIEWER

Greenville, SC · Remote

$60K - $70K/yr

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)

PLAN REVIEWER

Charlotte, NC · Remote

$60K - $70K/yr

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)

PLAN REVIEWER

Raleigh, NC · On-site

$60K - $70K/yr

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)

PLAN REVIEWER

Wilmington, NC · Remote

$60K - $70K/yr

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)

PLAN REVIEWER

Charlotte, NC · Remote

$60K - $70K/yr

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)

PLAN REVIEWER

Raleigh, NC · On-site

$60K - $70K/yr

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)

PLAN REVIEWER

Greenville, SC · Remote

$60K - $70K/yr

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 Jun 10, 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 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.

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.
More about Insurance Reviewer jobs
What cities are hiring for Insurance Reviewer jobs? Cities with the most Insurance Reviewer job openings:
What states have the most Insurance Reviewer jobs? States with the most job openings for Insurance Reviewer jobs include:
Infographic showing various Insurance Reviewer job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $62,159 per year, or $29.9 per hour.
Insurance Reviewer

$22 - $32/hr

Full-time

Life, Retirement

Posted 5 days ago


US Oncology rating

7.4

Company rating: 7.4 out of 10

Based on 104 frontline employees who took The Breakroom Quiz

251st of 870 rated healthcare providers


Job description

Overview
Insurance Reviewer - Clinical
Willamette Valley Cancer Institute is looking for an Insurance Reviewer to support our patients receiving testing and treatment needed for their diagnosis by navigating insurance portals and obtaining all appropriate authorizations. With a focus on authorizations for infusion drugs, radiation therapy, imaging, genetics and surgeries our Insurance Reviewers pave the way for our patients and treatment team to follow the prescribed treatment pathway. An individual that thrives in a high-volume workspace, with the ability to manage shifting priorities will find success in this role.
The general pay scale for this position at WVCI is $22.00-$32.00. The actual hiring rate is dependent on many factors, including but not limited to: prior work experience, education, job/position responsibilities, location, work performance, internal equity, etc.
Employment Type: Full Time
Benefits: M/D/V, Life Ins., 401(k)
Location: Eugene, OR
Responsibilities
  • Reviews, processes and audits the medical necessity for treatments including radiation oncology, gynecologic surgery, genetic lab testing, imaging, and chemotherapy treatment for each patient. Documentation of regimen related to pathway adherence and payer guidelines.
  • Communicate with nursing, physician, pharmacists and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered chemotherapy drugs.
  • Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis
  • Obtains insurance authorization and pre-certification for various oncology & hematology related services.
  • Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization.
  • Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient's records.
  • Other duties as requested or assigned.

Qualifications
  • High school degree or equivalent.
  • Minimum three (3) years of prior authorization experience required. Revenue cycle experience preferred.

PHYSICAL DEMANDS:
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 ENVIORNMENT:
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.
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

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