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Medical Insurance Reviewer Jobs in Virginia (NOW HIRING)

Insurance Agent

Hanover, VA · On-site

$75K - $105K/yr

Prepare regular reviews of progress and present them to interested parties * Organize bookkeeping ... property, medical and so on * Good knowledge of computers and statistics methods * Strong ...

Insurance Agent

Hanover, VA · On-site

$75K - $105K/yr

Prepare regular reviews of progress and present them to interested parties * Organize bookkeeping ... property, medical and so on * Good knowledge of computers and statistics methods * Strong ...

... Health Insurance Portability and Accountability Act (HIPAA), and other laws and regulations ... CCS, CCS-P, CPC, CRC Registered Nurses (RNs) and other personnel with medical degrees will be ...

New

Participate in chart review process with Medical Director(s). * Report directly to Medical Director ... BENEFITS: Medical Insurance: Participating employees contribute 25% of the employee medical ...

... Review and interpret dental insurance policies, including managed care plans, to determine coverage details Maintain meticulous medical records and ensure all documentation complies with HIPAA ...

Participate in chart review process with Medical Director(s). * Report directly to Medical Director ... BENEFITS: Medical Insurance: Participating employees contribute 25% of the employee medical ...

Showing results 41-60

Medical Insurance Reviewer information

See Virginia salary details

$11

$41

$99

How much do medical insurance reviewer jobs pay per hour?

As of Aug 10, 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.
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.

$75K - $105K/yr

Full-time

Re-posted 10 days ago


Job description

About the Insurance Broker position
We are looking for a skilled Insurance Broker to join our team and help us with managing our business development activities. Your duties will include finding new clients as well as promoting and selling company's insurance plans. We expect you to efficiently build and maintain long-term relationships to ensure the stability of company's revenues and growth.
Insurance Broker responsibilities are:
  • Consult clients about befitting risk management strategies
  • Explore the needs of business or individual customers and propose them plans or other services
  • Find opportunities and build relationship with potential customers Using networking, cold calling and other methods
  • Prepare regular reviews of progress and present them to interested parties
  • Organize bookkeeping systems, database and records
  • Meet your goals in finding new clients and selling insurance products and services
  • Follow company's policies and ensure the compliance with applicable legal requirements

Insurance Broker requirements are:
  • Good experience in providing client-focused solutions and building customer relationships
  • Experience of working with major kinds of insurance plans including automobile, fire, life, property, medical and so on
  • Good knowledge of computers and statistics methods
  • Strong communication, presentation and sales skills
  • Results-driven and able to work without supervision
  • High school or BSc degree; professional certification will be a bonus