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Medical Insurance Reviewer Jobs in Virginia (NOW HIRING)

Epic Denials Management Operator

Richmond, VA ยท Remote

$17.75 - $23.75/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 ...

Epic Denials Management Operator

Mclean, VA ยท Remote

$18.25 - $24.25/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 ...

Epic Denials Management Operator

Rosslyn, VA ยท Remote

$20.50 - $27.25/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 ...

Epic Denials Management Operator

Rosslyn, VA ยท Remote

$20.50 - $27.25/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 ...

Showing results 21-40

Medical Insurance Reviewer information

See Virginia salary details

$11

$41

$99

How much do medical insurance reviewer jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for medical insurance reviewer in Virginia is $41.70, according to ZipRecruiter salary data. Most workers in this role earn between $22.64 and $53.61 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 job categories do people searching Medical Insurance Reviewer jobs in Virginia look for? The top searched job categories for Medical Insurance Reviewer jobs in Virginia are:
Infographic showing various Medical Insurance Reviewer job openings in Virginia as of August 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 97% In-person, and 3% Remote job distribution, with an average salary of $86,726 per year, or $41.7 per hour.

Medical Administrative Assistant / Receptionist - Full-Time

Lowcountry Medical Practice Management

Fairfax, VA โ€ข On-site

$18.75 - $24.75/hr

Full-time

Re-posted 3 days ago


Job description

Medical Administrative Assistant - Full Time/Hourly - Annandale, VA
Attend to patients on the phone and in person. Coordinate and organize appointments and documentation to facilitate the smooth running of the healthcare environment and support delivery of quality patient care.
Critical Thinking Skills Required
  • Must be able to speak with patients and use practice management system to answer inquires accurately and confidently and while maintaining patient confidentiality.
  • Must be able to think critically about how to properly handle emergent situations that may arise in the healthcare environment.
  • Must be capable of performing proper research concerning patient claims and request before escalating to management and to the physician.
  • Must be able to properly assess patients concerns and provide minimum assistance required as a Medical Administrative Assistant without working outside of your scope of practice and expertise.
  • Must understand basic medical office terms and protocols.
  • Must be aware of HIPAA Rules and Guidelines and how to properly protect the privacy of patients.

Communication Skills Required
  • Must be able to communicate the details of patients issues with accuracy to the physician. This includes medication issues, medication request and pertinent patient messages left for the physician.
  • Must be able to communicate physicians responses or directives to patients with 100% accuracy. This includes written data, in person, or audible communication.
  • Must at all times show that you care and show compassion for patients concerns and wellbeing.
  • Must have have financial literacy and be able to provide daily financial ledgers to management team and physician.

Daily Job Duties and Responsibilities
  • Greet patients
  • Register patients according to established protocols
  • Assist patients to complete all necessary forms and documentation including medical insurance
  • Ensure patient information is accurate including billing information
  • Inform patients of medical office procedures and policy
  • Maintain and manage patient records
  • Answer incoming calls and deal with inquiries
  • Transfer calls as required
  • Schedule patient appointments
  • Collect co-pays and payments
  • Schedule hospital admissions, tests, scans and outside appointments for patients
  • Obtain external medical reports as required by medical professionals
  • Respond and comply to requests for information
  • Deal with incoming and outgoing post to website and social media
  • Complete other clerical duties as assigned
  • Maintain stock of forms and office supplies
  • Ensure reception area is well maintained, neat and clean
  • Safeguard patient privacy and confidentiality

Other Details
  • Must be a team player.
  • Performance reviewed every 90 days by physician and hiring team.
  • Pay determined based on experience.
  • No Medical Benefits included
  • Non-Remote

Education Requirement
  • High School Diploma or GED
  • Associates or Certificate in any Allied Health Field preferred but not required
  • At least 2 years experience in healthcare field