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Insurance Reviewer Jobs in Texas (NOW HIRING)

Zelis

Clinical Nurse Reviewer

Plano, TX

Conduct review of facility and outpatient bills as it compares with medical records and coverage ... Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare ...

SimpleHire

Licensed Insurance Agent

Denton, TX

$35K/yr

Conduct needs-based insurance reviews to identify coverage gaps and upsell opportunities * Generate new business through referrals, networking, and lead follow-up * Maintain and grow relationships ...

Posted today

US Bank

Reviewer Appraiser

Dallas, TX · On-site

$36.63 - $48.85/hr

Reviews appraisals and reports including desktop valuations from a wide variety of bank channels ... Basic term and optional term life insurance * Short-term and long-term disability * Pregnancy ...

Farmers Insurance

Insurance Producer

Round Rock, TX · On-site

$40K - $50K/yr

Insurance Producer / Office Manager Location: 1101 Satellite View Suite 202, Round Rock, TX, 78665 ... Maintain strong client relationships through policy reviews, renewals, and cross-selling * Ensure ...

Farmers Insurance

Insurance Producer

Round Rock, TX · On-site

$40K - $50K/yr

Insurance Producer / Office Manager Location: 1101 Satellite View Suite 202, Round Rock, TX, 78665 ... Maintain strong client relationships through policy reviews, renewals, and cross-selling * Ensure ...

USI Insurance Services

Insurance Assistant

Dallas, TX · On-site

... • Review expiration lists. • May issue binders, policies, and endorsements as directed. • ... insurance summaries. • Assist in reconciliation of accounts receivable by account. • 1 year ...

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How much do insurance reviewer jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for insurance reviewer in Texas is $27.84, according to ZipRecruiter salary data. Most workers in this role earn between $21.06 and $34.04 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.

How much do insurance reviewers make?

Insurance reviewers typically earn a median annual salary of around $50,000 to $70,000, depending on experience, location, and employer. Entry-level positions may start lower, while experienced reviewers with specialized knowledge can earn higher wages, often supplemented by benefits and opportunities for advancement.
What are popular job titles related to Insurance Reviewer jobs in Texas? For Insurance Reviewer jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Insurance Reviewer jobs in Texas look for? The top searched job categories for Insurance Reviewer jobs in Texas are:
Insurance Reviewer jobs near you
Infographic showing various Insurance Reviewer job openings in Texas as of July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $57,911 per year, or $27.8 per hour.

INSURANCE VERIFICATION SPECIALIST

Medix Infusion

Addison, TX • On-site

$50K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 14 days ago

Job description

Medix Infusion provides personalized home and in suite infusion therapy services for patients with chronic or acute conditions. Our expert team is dedicated to making each patient's journey as easy as possible. We provide medical infusion therapies, including anti-infectives, biologics, IVIG, and other injectable and infusion treatments.
Our Mission: To connect chronically ill and high-acuity patients with infusion therapy by providing convenient, compassionate care within rural, suburban, and other under-served communities.
General Description
The Insurance Specialist is responsible for verifying insurance eligibility and benefits for infusion services. The Insurance Specialist reviews payer medical necessity guidelines and ensures proper documentation is on file to support therapy. The Insurance Specialist will submit and follow-up timely with authorization, predetermination, and appeal requests. The Insurance Specialist will work closely with the Intake, Scheduling, Pharmacy, and Clinical departments in managing patient care while promoting compassionate high-quality standards.
Work Experience Requirements
  • Two years of insurance verification and authorization experience
  • Two years' experience in an infusion specialty preferred
  • Experience working with all payer types, including Medicare, Medicaid, and commercial insurance companies

Duties and Responsibilities
  • Verifies insurance eligibility and benefits via phone, fax, or payer portals.
  • Provides timely completion of insurance review for established patients.
  • Documents timely and accurately in the EMR system.
  • Reviews payor medical policies to determine medical necessity and/or FDA guidelines including Medicare billing and coding guidelines.
  • Coordinates with medical providers in obtaining necessary documentation to support medical necessity.
  • Submits appeal request to payers for denied authorizations and follows-up on timely turnaround.
  • Obtains authorization for infusion services for established patients.
  • Knowledge of reimbursement policies.
  • Completes follow-up tasks as assigned.
  • Assures work is completed in a timely manner to prevent delays in patient care.
  • Attends departmental meetings and in-services as requested.
  • Assists with orientation and training of staff.
  • Demonstrates courteous, compassionate, and professional behavior at all times.
  • All other assigned duties.

REASONS TO WORK AT MEDIX INFUSION
  • Excellent Culture as ranked by our own employees (NPS Score)
  • We Put the Patient First - Treating Others the Way We Want Ourselves or Our Family Treated
  • We Do the Right Thing...
  • Team Matters - We Always Assume Positive Intent
  • Health Insurance (Company pays approx. 70% of medical coverage chosen)
  • Dental/Vision Insurance (voluntary)
  • Paid Time Off - tiered plan based on tenure starting at 120 hours annually
  • Paid holidays - 7 days per year
  • $50,000 life insurance/$50,000 AD&D Employer Paid (additional Voluntary Life/AD&D products available)
  • Disability income protection plan (optional)
  • 401(k) savings plan and company match

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