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Physical Therapy Insurance Reviewer Jobs (NOW HIRING)

Insurance Reviewer

Eugene, OR · On-site

$22 - $32/hr

With a focus on authorizations for infusion drugs, radiation therapy, imaging, genetics and ... PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met ...

Insurance Reviewer

Eugene, OR · On-site

$22 - $32/hr

With a focus on authorizations for infusion drugs, radiation therapy, imaging, genetics and ... PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met ...

Physical Therapy

Whitman, MA · On-site

$90K - $110K/yr

Health insurance * Opportunity for advancement * Paid time off * Training & development * Vision insurance Physical TherapistJoin our team at Whitman Physical Therapy Are you a passionate Physical ...

Physical Therapy

Whitman, MA · On-site

$90K - $110K/yr

Physical Therapist Join our team at Whitman Physical Therapy Are you a passionate Physical ... Maintain timely and accurate documentation in accordance with clinical, regulatory, and insurance ...

Physical Therapy

Whitman, MA · On-site

$90K - $110K/yr

Physical Therapist Join our team at Whitman Physical Therapy Are you a passionate Physical ... Maintain timely and accurate documentation in accordance with clinical, regulatory, and insurance ...

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Physical Therapy Insurance Reviewer information

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$1.1K

$1.9K

$2.5K

How much do physical therapy insurance reviewer jobs pay per week?

As of Aug 7, 2026, the average weekly pay for physical therapy insurance reviewer in the United States is $1,859.52, according to ZipRecruiter salary data. Most workers in this role earn between $1,596.15 and $2,067.31 per week, depending on experience, location, and employer.

What are some common challenges faced by a physical therapy insurance reviewer, and how can they be managed?

Physical Therapy Insurance Reviewers often encounter challenges such as navigating complex insurance policies, staying updated with ever-changing payer requirements, and handling high volumes of case reviews. Managing these challenges requires strong attention to detail, effective communication with both clinical staff and insurance representatives, and ongoing education regarding billing codes and insurance regulations. Building strong relationships with providers and leveraging electronic health record systems can also streamline the review process and help prevent claim denials.

What does a physical therapy insurance reviewer do?

A Physical Therapy Insurance Reviewer is responsible for evaluating physical therapy claims to ensure they meet the guidelines and requirements set by insurance companies. They review patient records, treatment plans, and documentation provided by physical therapists to determine coverage eligibility and medical necessity. These professionals serve as a liaison between healthcare providers, patients, and insurance companies to clarify coverage details, manage denials, and resolve discrepancies. Their work ensures that patients receive appropriate coverage for necessary physical therapy services while preventing fraud and overutilization.

What is the difference between Physical Therapy Insurance Reviewer vs Physical Therapist?

AspectPhysical Therapy Insurance ReviewerPhysical Therapist
CredentialsTypically requires knowledge of insurance policies, certifications in insurance or healthcare administrationRequires a Doctor of Physical Therapy (DPT) degree and state licensure
Work EnvironmentOffice-based, reviewing insurance claims and policiesClinical settings, hospitals, outpatient clinics, providing patient care
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, private practices
Primary FocusAssessing insurance coverage, reviewing claims for reimbursementDiagnosing and treating patients with physical impairments

The main difference is that a Physical Therapy Insurance Reviewer focuses on evaluating insurance claims and coverage, while a Physical Therapist provides direct patient care. Both roles require healthcare knowledge, but their responsibilities and work environments differ significantly.

What are the key skills and qualifications needed to thrive as a physical therapy insurance reviewer, and why are they important?

To thrive as a Physical Therapy Insurance Reviewer, you need a solid background in physical therapy or healthcare, familiarity with insurance guidelines, and often a relevant degree or certification such as a PT or PTA license. Proficiency with medical billing software, electronic health records (EHR), and insurance claims systems is typically required. Strong attention to detail, analytical thinking, and effective communication skills help reviewers negotiate claims and clarify information with providers and insurers. These competencies are crucial for ensuring accurate claim processing, minimizing errors, and facilitating timely reimbursement for physical therapy services.
More about Physical Therapy Insurance Reviewer jobs
What cities are hiring for Physical Therapy Insurance Reviewer jobs? Cities with the most Physical Therapy Insurance Reviewer job openings:
What states have the most Physical Therapy Insurance Reviewer jobs? States with the most job openings for Physical Therapy Insurance Reviewer jobs include:
Infographic showing various Physical Therapy Insurance Reviewer job openings in the United States as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution, with an average salary of $96,695 per year, or $46.5 per hour.

$22 - $32/hr

Full-time

Life, Retirement

Re-posted 3 days ago


US Oncology rating

7.1

Company rating: 7.1 out of 10

Based on 109 frontline employees who took The Breakroom Quiz

379th of 887 rated healthcare providers


Job description

Overview
Insurance Reviewer - Clinical
Willamette Valley Cancer Institute is looking for an Insurance Reviewer to support our patients receiving testing and treatment needed for their diagnosis by navigating insurance portals and obtaining all appropriate authorizations. With a focus on authorizations for infusion drugs, radiation therapy, imaging, genetics and surgeries our Insurance Reviewers pave the way for our patients and treatment team to follow the prescribed treatment pathway. An individual that thrives in a high-volume workspace, with the ability to manage shifting priorities will find success in this role.
The general pay scale for this position at WVCI is $22.00-$32.00. The actual hiring rate is dependent on many factors, including but not limited to: prior work experience, education, job/position responsibilities, location, work performance, internal equity, etc.
Employment Type: Full Time
Benefits: M/D/V, Life Ins., 401(k)
Location: Eugene, OR
Responsibilities
  • Reviews, processes and audits the medical necessity for treatments including radiation oncology, gynecologic surgery, genetic lab testing, imaging, and chemotherapy treatment for each patient. Documentation of regimen related to pathway adherence and payer guidelines.
  • Communicate with nursing, physician, pharmacists and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered chemotherapy drugs.
  • Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis
  • Obtains insurance authorization and pre-certification for various oncology & hematology related services.
  • Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization.
  • Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient's records.
  • Other duties as requested or assigned.

Qualifications
  • High school degree or equivalent.
  • Minimum three (3) years of prior authorization experience required. Revenue cycle experience preferred.

PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
WORK ENVIORNMENT:
The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

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