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Medical Insurance Reviewer Jobs in Ohio (NOW HIRING)

Review and organize insurance audits, denials, and related account documentation to ensure issues are addressed accurately and within required deadlines. * Prepare and submit detailed appeal packages ...

New

Fair Hearing - Medical Insurance

Toledo, OH · On-site

$29.25 - $38.75/hr

Medical with federal minimum deductibles * Dental and Vision coverage * Retirement planning and ... Ensure Notices of Action are issued and reviewed for compliance, including required timelines ...

Onsite Reviewer - Ohio (5 Openings) Locations: * Columbus * Cleveland * Akron/Canton * Cincinnati ... Medical Insurance * Dental Insurance * Vision Insurance * 401(k) with Employer Match * Paid Time ...

Medical Records Reviewer

Cincinnati, OH

$16.25 - $19.50/hr

Benefits Include: - Competitive compensation - Health, dental, vision, life and disability insurance - Pre-tax healthcare and dependent care flexible spending accounts - Life insurance - 401(k) plan ...

Medical Records Reviewer

Cincinnati, OH · On-site

$16.25 - $19.50/hr

Benefits Include: - Competitive compensation - Health, dental, vision, life and disability insurance - Pre-tax healthcare and dependent care flexible spending accounts - Life insurance - 401(k) plan ...

Medical Records Reviewer

Moraine, OH · On-site

$14.75 - $17.75/hr

Life insurance * 401(k) plan with numerous investment options and generous company match * Cancer and/or critical illness benefit * Tuition Reimbursement * Paid Time Off * Employee Assistance Program

Medical Records Reviewer

Cincinnati, OH · On-site

$16.25 - $19.50/hr

Life insurance * 401(k) plan with numerous investment options and generous company match * Cancer and/or critical illness benefit * Tuition Reimbursement * Paid Time Off * Employee Assistance Program

Medical Records Reviewer

Columbus, OH · On-site

$16 - $19/hr

Life insurance * 401(k) plan with numerous investment options and generous company match * Cancer and/or critical illness benefit * Tuition Reimbursement * Paid Time Off * Employee Assistance Program

Medical Records Reviewer

Dublin, OH · On-site

$16 - $19/hr

Life insurance * 401(k) plan with numerous investment options and generous company match * Cancer and/or critical illness benefit * Tuition Reimbursement * Paid Time Off * Employee Assistance Program

MEDICAL BILLER

Mason, OH · On-site

$22.55/hr

Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house. * Monitor rejected claim reports and adjust claims for ...

Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house. * Monitor rejected claim reports and adjust claims for ...

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Showing results 1-20

Medical Insurance Reviewer information

See Ohio salary details

$11

$39

$95

How much do medical insurance reviewer jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for medical insurance reviewer in Ohio is $39.98, according to ZipRecruiter salary data. Most workers in this role earn between $21.73 and $51.44 per hour, depending on experience, location, and employer.

What does a medical insurance reviewer do?

A Medical Insurance Reviewer is responsible for evaluating medical claims submitted by healthcare providers to ensure they meet policy guidelines and are medically necessary. They review patient records, treatment plans, and insurance policies to determine coverage eligibility and approve or deny claims accordingly. Their work helps prevent fraudulent or incorrect payments and supports both insurance companies and insured individuals in navigating the claims process.

What are the key skills and qualifications needed to thrive as a medical insurance reviewer?

To thrive as a Medical Insurance Reviewer, you need a solid understanding of medical terminology, claims processing, and healthcare regulations, often supported by experience in healthcare administration or a related certification. Familiarity with claims management software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for accurately evaluating claims and collaborating with healthcare providers. These skills ensure accurate claim assessments, compliance with regulations, and efficient processing, which are critical for minimizing errors and supporting the financial health of both insurers and patients.

What are some common challenges faced by medical insurance reviewers when handling claim approvals?

Medical Insurance Reviewers often encounter challenges such as interpreting complex medical documentation, staying updated with evolving insurance policies, and ensuring compliance with regulatory requirements. Balancing the need for thorough analysis with the pressure of meeting turnaround times can also be demanding. Effective communication with healthcare providers and policyholders is key to resolving discrepancies and ensuring claims are processed accurately and efficiently.

How to become a medical insurance reviewer?

To become a medical insurance reviewer, candidates typically need a background in healthcare, nursing, or health administration, along with knowledge of insurance policies and medical coding. Relevant certifications such as Certified Professional Coder (CPC) or insurance-specific training can enhance job prospects, and strong attention to detail is essential for reviewing medical claims and documentation.
Infographic showing various Medical Insurance Reviewer job openings in Ohio as of August 2026, with employment types broken down into 87% Full Time, 7% Part Time, 3% Temporary, and 3% Contract. Highlights an 90% In-person, 3% Hybrid, and 7% Remote job distribution, with an average salary of $83,163 per year, or $40 per hour.

Medical Insurance Collector

Addison Group

Boardman, OH • On-site

$17 - $19/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

New


Job description

Job Title: Insurance Collector

Location: Boardman, OH

Compensation: $17–$19/hour

Benefits: This position is eligible for medical, dental, vision, 401(k) with company contribution, PTO, paid holidays, and additional employee perks.

Industry: Healthcare / Revenue Cycle

Work Schedule: Monday–Friday, approximately 7:30 AM–4:00 PM; flexible start time between 7:30–8:30 AM


About Our Client

Addison Group's client is a growing healthcare organization seeking an experienced Insurance Collector to join its Business Office and Revenue Cycle team. This is a newly created position offering the opportunity to contribute to a growing department while working in a collaborative, patient-focused environment.


Job Description

The Insurance Collector will support insurance collections, payer audits, and appeals by reviewing account information, researching payer requirements, preparing supporting documentation, and helping resolve outstanding claim balances. The ideal candidate has experience working with insurance collections and appeals and is comfortable interpreting EOBs, researching denials, and navigating healthcare revenue cycle systems.


Key Responsibilities

  • Review and organize insurance audits, denials, and related account documentation to ensure issues are addressed accurately and within required deadlines.
  • Prepare and submit detailed appeal packages to insurance carriers, using medical records, claim information, coding details, and payer guidelines to support reimbursement.
  • Investigate denial trends and identify underlying issues that may be contributing to payment delays or claim denials.
  • Research commercial, Medicare, and Medicaid payer policies, including filing deadlines, authorization requirements, reimbursement guidelines, and claim-processing procedures.
  • Review EOBs and account activity to determine appropriate collection and follow-up actions.
  • Escalate complex account issues and coordinate necessary corrections to help resolve outstanding accounts receivable balances.
  • Maintain accurate documentation throughout the audit, collection, and appeal process.
  • Assist with additional revenue cycle and business office responsibilities as needed.


Qualifications

  • At least 1 year of experience in healthcare insurance collections, denials, appeals, or a related revenue cycle function.
  • Strong understanding of insurance processes and ability to interpret EOBs and payer correspondence.
  • Experience working with commercial insurance, Medicare, and/or Medicaid payers.
  • Knowledge of healthcare revenue cycle processes, claim resolution, and insurance reimbursement.
  • Familiarity with payer audits, payment integrity reviews, and formal appeals is highly preferred.
  • Understanding of CMS requirements, payer-specific guidelines, and Medicare audit processes is a plus.
  • Strong analytical and problem-solving abilities with excellent attention to detail.
  • Experience working within EMR systems and reporting tools; proficiency with Microsoft Excel is preferred.
  • Ability to manage multiple accounts and deadlines while maintaining accurate records.


Perks

  • Medical, dental, and vision insurance options
  • 401(k) with 3% company contribution
  • PTO begins accruing on the first day; available for use after 90 days
  • Up to 15 days of PTO plus 7 paid holidays
  • Approximately 3 weeks of paid time off during the first year
  • Company events, giveaways, and family-oriented culture
  • On-site café, coffee, and fitness center
  • Free parking
  • Business casual dress code; scrubs are also permitted
  • Comprehensive training and onboarding program
  • Overtime opportunities available




Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.