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Medical Insurance Reviewer Jobs in Texas (NOW HIRING)

Medical Insurance Verification Specialist

Dallas, TX · On-site

$16.75 - $20.75/hr

Medical Insurance Verification Specialist Location: Dallas - Hospital Additional Posting Details ... review * Request and secure referrals from Primary Care Physicians and Insurance companies

The Reny Company's bill reviewer is a professional who combines experience in health insurance and medical billing with business insight and a passion for great service. Purpose of this role is to ...

The Insurance Specialist is responsible for verifying insurance eligibility and benefits for infusion services, review medical necessity guidelines, and ensure accurate documentation. You will also ...

Insurance Verifications

Dallas, TX · On-site

$15.75 - $19.50/hr

I Medical Insurance Authorization Specialist (Contract) Healthcare Industry | Dallas, TX | 100% On ... systems Review documents for completeness and accuracy prior to processing Communicate ...

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Medical Insurance Reviewer information

See Texas salary details

$10

$39

$93

How much do medical insurance reviewer jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for medical insurance reviewer in Texas is $39.18, according to ZipRecruiter salary data. Most workers in this role earn between $21.30 and $50.38 per hour, depending on experience, location, and employer.

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.

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 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 cities in Texas are hiring for Medical Insurance Reviewer jobs? Cities in Texas with the most Medical Insurance Reviewer job openings:
Infographic showing various Medical Insurance Reviewer job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $81,498 per year, or $39.2 per hour.

Medical Insurance Verification Specialist

Src

Dallas, TX • On-site

$16.75 - $20.75/hr

Full-time

Posted 24 days ago


Job description

Our patients are our number one priority! We're committed to giving children back their childhood!

Job Posting Title:

Medical Insurance Verification Specialist

Location:

Dallas - Hospital

Additional Posting Details:

Monday - Friday

8:00 a.m. - 4:30 p.m.

Job Description:

Responsibilities

  • Models a service attitude towards others, takes ownership in solving problems and takes the initiative to make things better, is friendly and courteous to patients, families and co-workers

  • Perform all aspects of insurance verifications for the patients who are scheduled for Inpatient and Outpatient procedures and special radiology procedures

  • Obtain authorizations and pre-certifications as required for all procedures; work with clinical staff to obtain additional clinical information for benefit review

  • Request and secure referrals from Primary Care Physicians and Insurance companies

  • Analyze benefits for appropriate coverage for services

  • Capable of calling families to verify their information and insurance coverage

  • Provide clerical and administrative support as required

  • Assist with updating and maintaining current billing systems/software

  • Create reports for tracking and trending purposes

  • Cross-train with other positions in Patient Access to provide coverage and understand overall functions of department

  • Responsible for all correspondence from Insurance companies

Education / Requirements:

  • High School diploma required

  • Knowledge of health insurance procedures

  • Ability to relate positively, effectively and appropriately with residents, families, community members, volunteers and other facility staff

  • Self-starter with aptitude for following through on details and resolving discrepancies

  • Ability to read, write and speak English