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Physician Insurance Reviewer Jobs (NOW HIRING)

MyMichigan Health

Professional Billing Account Rep

Midland, MI · On-site

$15.50 - $20.50/hr

Reviews outstanding physician insurance claims on a timely basis. Processes additional billings as required to obtain maximum payment on account. Responds to correspondence appropriate to area of ...

MyMichigan Health

Professional Billing Account Rep

Midland, MI · On-site

$14.25 - $18.75/hr

Reviews outstanding physician insurance claims on a timely basis. Processes additional billings as required to obtain maximum payment on account. Responds to correspondence appropriate to area of ...

MyMichigan Health

Professional Billing Account Rep

Midland, MI · On-site

$15.50 - $20.50/hr

Reviews outstanding physician insurance claims on a timely basis. Processes additional billings as required to obtain maximum payment on account. Responds to correspondence appropriate to area of ...

Bestcare, Inc

Be Seen First

Registered Nurse - Home Care - Field Supervisor

Bay Shore, NY · On-site

$75K/yr

Communicate with a patient's physician, insurance, and other team members to ensure delivery of ... Responsible for the review and maintenance of patient records Job Qualifications: * Must be a valid ...

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Physician Insurance Reviewer information

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$32

$103

How much do physician insurance reviewer jobs pay per hour?

As of Aug 11, 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?

AspectPhysician Insurance ReviewerMedical Claims Processor
Required CredentialsMedical degree, licensing, insurance knowledgeHigh school diploma or equivalent, insurance training
Work EnvironmentInsurance companies, healthcare organizationsInsurance companies, healthcare providers
Job FocusReviewing medical records for insurance claimsProcessing and entering insurance claims
Common Search IntentDifferences, responsibilities, qualificationsJob 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?

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 is a physician insurance reviewer?

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:
Physician Insurance Reviewer jobs near you
Infographic showing various Physician Insurance Reviewer job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $67,549 per year, or $32.5 per hour.

Front Office Coordinator - Alcoa

Tennessee Orthopaedic Alliance

Alcoa, TN • On-site

$14.50 - $18.75/hr

Other

Re-posted 2 days ago

Tennessee Orthopaedic Alliance rating

7.1

Company rating: 7.1 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

Job description

A nonexempt position responsible for initial patient contact and front office duties associated with a patient appointment to a physician’s office.
Essential Job Responsibilities:

  1. Looks patients in the eye and welcomes patient with excellent customer service.
  2. Checking in and/or checking out patients for physician appointments.
  3. Verification of patient’s demographics, PCP, referring physician, insurance coverage and co-pay, at time of visit.
  4. Entering patient demographic information in the practice management system.
  5. Verifies and distributes patient history.
  6. Scans/sorts all forms related to front office processes.
  7. Manages and coordinates all internal referrals.
  8. Scheduling return appointments for patients.
  9. Collection of copayments, patient balances and form fees.
  10. Distributes requested documents to patients.
  11. Completes/balances end of day batch processes.
  12. Maintains and communicates patient wait times.

Requirements
Education: High school diploma.
Experience: Minimum two years medical office experience preferred.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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