Insurance Reviewer
Eugene, OR · On-site
$22 - $32/hr
Overview Insurance Reviewer - Clinical Willamette Valley Cancer Institute is looking for an ... Communicate with nursing, physician, pharmacists and medical staff to inform them of any ...
Insurance Reviewer
Eugene, OR · On-site
$22 - $32/hr
Overview Insurance Reviewer - Clinical Willamette Valley Cancer Institute is looking for an ... Communicate with nursing, physician, pharmacists and medical staff to inform them of any ...
Insurance Reviewer
$22 - $32/hr
Overview Insurance Reviewer - Clinical Willamette Valley Cancer Institute is looking for an ... Communicate with nursing, physician, pharmacists and medical staff to inform them of any ...
Insurance Reviewer
$22 - $32/hr
Overview Insurance Reviewer - Clinical Willamette Valley Cancer Institute is looking for an ... Communicate with nursing, physician, pharmacists and medical staff to inform them of any ...
Insurance Reviewer II
Springfield, IL · On-site
$18.22 - $26.42/hr
The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment ... Analyze and process front-end system edits for correct physician productivity and billing of claims.
Insurance Reviewer II
Springfield, IL · On-site
$18.22 - $26.42/hr
The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment ... Analyze and process front-end system edits for correct physician productivity and billing of claims.
Insurance Reviewer II
Springfield, IL · On-site
$18.22 - $26.42/hr
The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment ... Analyze and process front-end system edits for correct physician productivity and billing of claims.
Insurance Reviewer II
Springfield, IL · On-site
$18.22 - $26.42/hr
The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment ... Analyze and process front-end system edits for correct physician productivity and billing of claims.
Insurance Reviewer II
Springfield, IL · On-site
$18.22 - $26.42/hr
The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment ... Analyze and process front-end system edits for correct physician productivity and billing of claims.
Insurance Reviewer II
Springfield, IL · On-site
$18.22 - $26.42/hr
The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment ... Analyze and process front-end system edits for correct physician productivity and billing of claims.
Insurance Reviewer II
Springfield, IL · On-site
The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment ... Analyze and process front-end system edits for correct physician productivity and billing of claims.
Insurance Reviewer II
Springfield, IL · On-site
The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment ... Analyze and process front-end system edits for correct physician productivity and billing of claims.
Insurance Reviewer II
Springfield, IL · On-site
The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment ... Analyze and process front-end system edits for correct physician productivity and billing of claims.
Insurance Reviewer II
Springfield, IL · On-site
The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment ... Analyze and process front-end system edits for correct physician productivity and billing of claims.
Insurance Reviewer II
Springfield, IL · On-site
The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment ... Analyze and process front-end system edits for correct physician productivity and billing of claims.
Insurance Reviewer II
Springfield, IL · On-site
The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment ... Analyze and process front-end system edits for correct physician productivity and billing of claims.
Overview Texas Oncology is looking for an Outside Scheduler/Insurance Reviewer Sr to join our team ... Provides prompt feedback to physicians and management regarding pathway documentation issues, and ...
Overview Texas Oncology is looking for an Outside Scheduler/Insurance Reviewer Sr to join our team ... Provides prompt feedback to physicians and management regarding pathway documentation issues, and ...
Overview Texas Oncology is looking for an Outside Scheduler/Insurance Reviewer Sr to join our team ... Provides prompt feedback to physicians and management regarding pathway documentation issues, and ...
Overview Texas Oncology is looking for an Outside Scheduler/Insurance Reviewer Sr to join our team ... Provides prompt feedback to physicians and management regarding pathway documentation issues, and ...
The MSO Physician Reviewer is responsible for ensuring the appropriate utilization of healthcare ... insurance). * Familiarity with UM guidelines (MCG, InterQual, CMS, NCQA, URAC) and utilization ...
The MSO Physician Reviewer is responsible for ensuring the appropriate utilization of healthcare ... insurance). * Familiarity with UM guidelines (MCG, InterQual, CMS, NCQA, URAC) and utilization ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
The MSO Physician Reviewer is responsible for ensuring the appropriate utilization of healthcare ... insurance). * Familiarity with UM guidelines (MCG, InterQual, CMS, NCQA, URAC) and utilization ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
The MSO Physician Reviewer is responsible for ensuring the appropriate utilization of healthcare ... insurance). * Familiarity with UM guidelines (MCG, InterQual, CMS, NCQA, URAC) and utilization ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
$285K - $332K/yr
The MSO Physician Reviewer is responsible for ensuring the appropriate utilization of healthcare ... insurance). * Familiarity with UM guidelines (MCG, InterQual, CMS, NCQA, URAC) and utilization ...
MSO PHYSICIAN REVIEWER
Burlingame, CA · On-site
$285K - $332K/yr
The MSO Physician Reviewer is responsible for ensuring the appropriate utilization of healthcare ... insurance). * Familiarity with UM guidelines (MCG, InterQual, CMS, NCQA, URAC) and utilization ...
... review matters. The Manager of Physician Underwriting will assist the Manager of Physician Programs, other department heads and Insurance team as needed and on special projects. Job Responsibilities:
... review matters. The Manager of Physician Underwriting will assist the Manager of Physician Programs, other department heads and Insurance team as needed and on special projects. Job Responsibilities:
Manager Physician Programs
Franklin, TN · On-site
... review matters. The Manager of Physician Underwriting will assist the Manager of Physician Programs, other department heads and Insurance team as needed and on special projects. Job Responsibilities:
Manager Physician Programs
Franklin, TN · On-site
... review matters. The Manager of Physician Underwriting will assist the Manager of Physician Programs, other department heads and Insurance team as needed and on special projects. Job Responsibilities:
Manager Physician Programs
Lebanon, TN · On-site
... review matters. The Manager of Physician Underwriting will assist the Manager of Physician Programs, other department heads and Insurance team as needed and on special projects. Job Responsibilities:
Manager Physician Programs
Lebanon, TN · On-site
... review matters. The Manager of Physician Underwriting will assist the Manager of Physician Programs, other department heads and Insurance team as needed and on special projects. Job Responsibilities:
Manager Physician Programs
Nashville, TN · On-site
... review matters. The Manager of Physician Underwriting will assist the Manager of Physician Programs, other department heads and Insurance team as needed and on special projects. Job Responsibilities:
Manager Physician Programs
Nashville, TN · On-site
... review matters. The Manager of Physician Underwriting will assist the Manager of Physician Programs, other department heads and Insurance team as needed and on special projects. Job Responsibilities:
Front Office Coordinator
Knoxville, TN · On-site
$15.75 - $20.50/hr
Verification of patient's demographics, PCP, referring physician, insurance coverage and co-pay, at ... For further information, please review the Know Your Rights notice from the Department of Labor.
Front Office Coordinator
Knoxville, TN · On-site
$15.75 - $20.50/hr
Verification of patient's demographics, PCP, referring physician, insurance coverage and co-pay, at ... For further information, please review the Know Your Rights notice from the Department of Labor.
Insurance Verification Specialist - Las Vegas, NV
Las Vegas, NV · On-site
$15.50 - $19.25/hr
Document all pertinent communication with patient, physician, insurance company as it may relate to ... For further information, please review the Know Your Rights notice from the Department of Labor.
Insurance Verification Specialist - Las Vegas, NV
Las Vegas, NV · On-site
$15.50 - $19.25/hr
Document all pertinent communication with patient, physician, insurance company as it may relate to ... For further information, please review the Know Your Rights notice from the Department of Labor.
Job Title External Physician Reviewer Job Type Occasional Category Medical Services Location Work ... Maintain current liability and malpractice insurance coverage for non-UR clinical activities
Job Title External Physician Reviewer Job Type Occasional Category Medical Services Location Work ... Maintain current liability and malpractice insurance coverage for non-UR clinical activities
Physician Insurance Reviewer information
See salary details
$16.12 is the 25th percentile. Wages below this are outliers.
$11.30 - $19.71
44% of jobs
The median wage is $21.29 / hr.
$19.71 - $28.13
34% of jobs
$28.13 - $36.54
6% of jobs
$36.54 - $44.95
4% of jobs
$44.95 - $53.37
4% of jobs
$53.37 - $61.78
3% of jobs
$61.78 - $70.19
1% of jobs
$70.19 - $78.61
1% of jobs
$78.61 - $87.02
0% of jobs
$87.02 - $95.43
1% of jobs
$95.43 - $103.85
1% of jobs
$11
$32
$103
How much do physician insurance reviewer jobs pay per hour?
As of Jul 2, 2026, the average hourly pay for physician insurance reviewer in the United States is $32.48, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $33.65 per hour, depending on experience, location, and employer.
What is the difference between Physician Insurance Reviewer vs Medical Claims Processor?
| Aspect | Physician Insurance Reviewer | Medical Claims Processor |
|---|---|---|
| Required Credentials | Medical degree, licensing, insurance knowledge | High school diploma or equivalent, insurance training |
| Work Environment | Insurance companies, healthcare organizations | Insurance companies, healthcare providers |
| Job Focus | Reviewing medical records for insurance claims | Processing and entering insurance claims |
| Common Search Intent | Differences, responsibilities, qualifications | Job duties, salary, requirements |
The main difference is that Physician Insurance Reviewers evaluate medical records to determine insurance coverage, requiring medical credentials and insurance knowledge. Medical Claims Processors handle the administrative task of processing claims, often with less medical training. Both roles are essential in the insurance and healthcare industry but focus on different aspects of claims management.
What are some common challenges Physician Insurance Reviewers face when assessing complex medical cases?
Physician Insurance Reviewers often encounter challenges when reviewing cases that involve rare conditions, ambiguous documentation, or conflicting medical opinions. Balancing the need for thorough, evidence-based review with strict deadlines can be demanding, especially when communicating decisions to healthcare providers or patients. Staying current with evolving clinical guidelines and payer policies is also essential to make fair and accurate determinations. Collaboration with multidisciplinary teams and clear documentation are key strategies to address these challenges effectively.
What are the key skills and qualifications needed to thrive as a Physician Insurance Reviewer, and why are they important?
To thrive as a Physician Insurance Reviewer, you need a medical degree (MD or DO), clinical experience, and knowledge of healthcare regulations and insurance policies. Familiarity with electronic medical records (EMR) systems, utilization review software, and relevant certifications like URAC or CM review are typically required. Strong analytical thinking, attention to detail, and effective written and verbal communication skills help ensure accurate and fair assessments. These competencies are crucial for making informed coverage decisions that balance patient care with compliance and cost efficiency.
What are Physician Insurance Reviewers?
Physician Insurance Reviewers are licensed medical doctors who evaluate insurance claims to determine the medical necessity and appropriateness of healthcare services. They review patient records, treatment plans, and diagnostic results to ensure that the care provided aligns with established guidelines and insurance policies. Their assessments help insurers decide whether to approve or deny coverage for specific procedures, medications, or treatments. These professionals play a crucial role in balancing patient care needs with cost management, and they often consult with treating physicians to clarify clinical details.
More about Physician Insurance Reviewer jobs
What cities are hiring for Physician Insurance Reviewer jobs? Cities with the most Physician Insurance Reviewer job openings:
What states have the most Physician Insurance Reviewer jobs? States with the most job openings for Physician Insurance Reviewer jobs include:
What job categories do people searching Physician Insurance Reviewer jobs look for? The top searched job categories for Physician Insurance Reviewer jobs are:
$22 - $32/hr
Full-time
Life, Retirement
Posted 28 days ago
US Oncology rating
7.5
Based on 106 frontline employees who took The Breakroom Quiz
227th of 877 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
Qualifications
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.
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.
What US Oncology employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About US Oncology
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
The Woodlands, TX, US
Year founded
1992