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Medical Insurance Reviewer Jobs (NOW HIRING)

Robert Half

Medical Insurance Claims Specialist

Durham, NC · On-site

$20 - $23/hr

We are looking for a Medical Insurance Claims Specialist to join a growing revenue cycle team in ... Review and address claim issues by interpreting payer requirements, identifying coverage or billing ...

Src

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

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How much do medical insurance reviewer jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for medical insurance reviewer in the United States is $42.06, according to ZipRecruiter salary data. Most workers in this role earn between $22.84 and $54.09 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.
More about Medical Insurance Reviewer jobs
What cities are hiring for Medical Insurance Reviewer jobs? Cities with the most Medical Insurance Reviewer job openings:
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What job categories do people searching Medical Insurance Reviewer jobs look for? The top searched job categories for Medical Insurance Reviewer jobs are:
Medical Insurance Reviewer jobs near you
Infographic showing various Medical Insurance Reviewer job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $87,476 per year, or $42.1 per hour.

Medical Insurance Collector

Specialists Hospital Shreveport, LLC

Shreveport, LA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

Job description

Benefits:
  • Health insurance
  • Vision insurance
  • 401(k)
  • Dental insurance

Job Summary: Under the direction of the Supervisor, Central Business Office, the Medical Insurance Collector’s responsibility is to work accounts receivable to maximize reimbursement.
 Essential Job Functions                      
  • Works accounts receivable in assigned area to maximize reimbursement. Utilizes knowledge of PPO, HMO, and Government guidelines.
  • Contacts various payers and patients to collect on outstanding accounts. Tracks and enters all calls for documentation, trending and reporting. 
  • Identifies patterns of insurance concerns that directly impact cash flow.
  • Handles multiple insurance and patient incoming calls and responds to each call in an efficient, effective, and professional manner.
  • Ascertains account information and makes necessary corrections in regards to the insurance data or patient’s registration.
  • Maintains ongoing knowledge of third party billing requirements. Understands billing timeliness and urgency in meeting all claims and filing deadlines. Keeps current with knowledge of payer contracting agreements.
  • Maintains daily work file, assigned reports and or special projects. 
  • Reviews and responds to Insurance and/or Patient correspondence timely.
  • Reviews and responds to site correspondence timely. 
  • Reports to supervisor any concerns or discrepancies in a timely manner.
  • Performs other duties as assigned.
  Requirements

  • High School diploma or GED required
  • Must have 3 years of medical billing and collections experience.
  • Medicare billing experience a plus.
  • CPSI experience preferred. 
  • Microsoft Office knowledge preferred.
  • Familiarity with medical terminology, coding (CPT/ICD9/HCPCS) and standard electronic billing format.
Benefits
  • Paid holidays.
  • Sick and vacation after waiting period
  • Health, vision, and dental coverage 
  • Employer paid life insurance and long-term disability 
  • 401K 
  • Pay in Lieu of Benefits option offered
 
Specialists Hospital Shreveport is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.