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Medical Insurance Reviewer Jobs in Ohio (NOW HIRING)

BizTek People

Medical Records Review Coordinator

Maumee, OH · On-site

$16.75 - $21.75/hr

Medical Records Review Coordinator Performs audits of medical records from primary care and ... insurance plan quality ratings and re-credentialing. Compiles results and enters data into an ...

Deloitte

Epic Denials Management Operator

Columbus, OH · Remote

$17.50 - $23.25/hr

Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to payers through payer portals and phone ...

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All JobsMedical Insurance Reviewer JobsMedical Insurance Reviewer Jobs in Ohio

Medical Insurance Reviewer information

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$11

$39

$95

How much do medical insurance reviewer jobs pay per hour?

As of Aug 22, 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.

What are popular job titles related to Medical Insurance Reviewer jobs in Ohio?

For Medical Insurance Reviewer jobs in Ohio, the most frequently searched job titles are:

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

The top searched job categories for Medical Insurance Reviewer jobs in Ohio are:

Medical Insurance Reviewer jobs near you
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.

Denials Management Coordinator - Denials Management - FT 1.0 (80 hrs biweekly) (71449)

Memorial Health System

Reno, OH • On-site

$14.25 - $19/hr

Full-time

Posted 8 days ago

Job description

In an environment of continuous quality improvement, the Denials Management Coordinator is responsible for reviewing all denials to determine patterns in errors, payors, and internal processes to improve our denial rate. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times.
Job Functions:
  1. Analyzes all denials for patterns.
  2. Works with front line staff and educate on proper processes.
  3. Ability to verbalize to insurance carriers and write appeal details to support additional payment on denied claims.
  4. Accurately and consistently documents the results of all denial reviews in the hospital information system.
  5. Prepares reports as required by management regarding audit results, process improvement recommendations and systemic payment errors.
  6. Makes monthly observations and recommendations to prevent future denials.
  7. Assumes all other duties and responsibilities as necessary.

Minimum Education/Experience Required:
  • High School Diploma or GED required.
  • Minimum of two years of previous experience in a healthcare-related position required.
  • Experience in coding, medical necessity, registration, insurances, and precertification processes and/or denials preferred.
  • Minimum of 2 years of experience or formal education in basic ICD10 coding, medical terminology, Anatomy/pathophysiology, and disease process preferred.
  • Depending on healthcare-related experience, may require coding certification within 2 years of date of hire. Experience reviewing ambulatory claim denials preferred.

Special Knowledge, Skills, Training:
  • Computer skills (word processing, spreadsheet, graphics, and database software applications).
  • Strong quantitative, analytical and organization skills.
  • Strong negotiation skills.
  • Proficient in payment review systems, hospital information systems and coding methodologies.
  • Ability to understand medical records, hospital bills, and the charge master.
  • Ability to understand all ancillary department functions for the facility.
  • Ability to understand complex insurance terms and payment methodologies.
  • Ability to effectively negotiate with insurance carriers and customers.
  • Ability to utilize and understand computer technology.
  • Ability to communicate orally and in written form.
  • Team-orientated with strong interpersonal skills.

Compensation Details: Education, experience, and tenure may be considered along with internal equity when job offers are extended.
Benefits: Memorial Health System is proud to offer an affordable, comprehensive benefit package to all full time and flex time employees. To learn more about the many benefits we offer, please visit our website at www.mhsystem.org/benefits.
Bonus Eligibility: Available to qualifying full or flex time employees. Eligibility will be determined upon offer.
Memorial Health System is an equal opportunity provider and employer.
If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at https://www.ocio.usda.gov/document/ad-3027, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop 9410, Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.
* Memorial Health System is a federal drug-free workplace. This policy prohibits marijuana use by employees.

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