How to hire an insurance auditor

How to hire an insurance auditor, step by step

Here's a step-by-step insurance auditor hiring guide:

• Step 1: Identify your hiring needs
• Step 2: Create an ideal candidate profile
• Step 3: Make a budget
• Step 4: Write an insurance auditor job description
• Step 5: Post your job
• Step 6: Interview candidates
• Step 7: Send a job offer and onboard your new insurance auditor
• Step 8: Go through the hiring process checklist

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1. Identify your hiring needs

   First, determine the employments status of the insurance auditor you need to hire. Certain insurance auditor roles might require a full-time employee, whereas others can be done by part-time workers or contractors.

   Determine employee vs contractor status

   Is the person you're thinking of hiring a US citizen or green card holder?

   Yes

   No

   You should also consider the ideal background you'd like them an insurance auditor to have before you start to hire. For example, what industry or field would you like them to have experience in, what level of seniority or education does the job require, and how much it'll cost to hire an insurance auditor that fits the bill.

   Here's a comparison of insurance auditor salaries for various roles:

   Type of Insurance Auditor	Description	Hourly rate
   Insurance Auditor	Accountants and auditors prepare and examine financial records. They ensure that financial records are accurate and that taxes are paid properly and on time... Show more	$13-40
   Audit Internship	An audit intern is responsible for assisting the finance department in processing financial reports, analyzing account statements, releasing invoices, and conducting tax audits. Audit interns shadow tenured staff on the operation procedures to familiarize themselves with work processes... Show more	$15-34
   Auditor Supervisor	An auditor supervisor is a financial professional who manages a staff of audit professionals and controls consulting engagements that evaluate the management and operating practices of a corporate. This supervisor is required to supervise audit planning and fieldwork as well as communicates findings and recommendations to senior management... Show more	$28-55

   Show more

2. Create an ideal candidate profile

   Common skills:

   • Workers Compensation
   • General Liability Policies
   • ISO
   • Audit Reports
   • Ncci
   • Customer Service
   • Insurance Carriers
   • Insurance Policies
   • Computer System
   • Premium Audits
   • Audit Findings
   • Audit Process
   • Financial Statements
   • Insurance Audits

   Check all skills

   Responsibilities:

   • Manage the collection, analysis and verification of managerial payroll information to detect fraud and/or unethical practices.
   • Prepare the audit report as prescribed by the insurance company within the time allow and within NCCI and ISO rules.
   • Modify claim files upon customer request using proprietary software under strict HIPAA guidelines.
   • Provide contract audit services to monitor the field sales force compliance with internal policies on promotional spending on healthcare providers.
   • Audit paperwork to ensure products are produced within company and FDA specification.
   • Develop and implement the recovery audit program for post-payment audit of dental Medicaid programs.

3. Make a budget

   Including a salary range in your insurance auditor job description is a great way to entice the best and brightest candidates. An insurance auditor salary can vary based on several factors:

   • Location. For example, insurance auditors' average salary in hawaii is 57% less than in new jersey.
   • Seniority. Entry-level insurance auditors earn 67% less than senior-level insurance auditors.
   • Certifications. An insurance auditor with a few certifications under their belt will likely demand a higher salary.
   • Company. Working for a prestigious company or an exciting start-up can make a huge difference in an insurance auditor's salary.

   Average insurance auditor salary

   $49,477yearly

   $23.79 hourly rate

   ---

   Entry-level insurance auditor salary

   $28,000 yearly salary

   Updated December 31, 2025

4. Writing an insurance auditor job description

   A job description for an insurance auditor role includes a summary of the job's main responsibilities, required skills, and preferred background experience. Including a salary range can also go a long way in attracting more candidates to apply, and showing the first name of the hiring manager can also make applicants more comfortable. As an example, here's an insurance auditor job description:

   Insurance auditor job description example

   Primarily responsible for the review and follow up on paid insurance claims (including $0.00 pay) and payor recoupments to successfully determine if reimbursement is accurate according to current contracted rates and follow up with payers on outstanding monies due for services rendered to a patient. This position will provide “root cause” analysis and reporting of revenue opportunities to ensure appropriate reimbursement.
   Responsibilities • Perform thorough research of paid claims (including $0.00 pay) for appropriate follow up with payer.
   • Provide detailed analysis of findings and payer trends.
   • Review claim remittances to determine reimbursement rates and methodologies used by the payer when processing the claim.
   • Identify opportunities with underpayment or contract language that is determinant to reimbursement and report findings to leadership.
   • Perform extensive review of high dollar accounts that are subject to alternative reimbursement terms to validate payments are in accordance with contracted rates.
   • Responsible for reviewing and understanding explanation of benefits/remittance advice from third-party payers.
   • Process and review incoming correspondence from payers related to underpayment or high dollar/outlier payment discrepancies.
   • Audit, research accounts, payment posting, and contractuals to confirm the accuracy of the balance, financial class, and follow up schedule on the account.
   • Phone contact with patient, physician office, attorney, etc. for additional information to provide payer in order to process claim in accordance with contracted rates.
   • Communicate payment discrepancies to payer specific provider representatives via email, phone, or scheduled in-person meetings.
   • Work with reimbursement and contract modeling team members to verify contracted rates are properly calculated with contract modeling system.
   • Maintain regular contact with Managed Care & Contracting management team to ensure all new contract agreements/updated rates are received timely and effective dates for new rates are communicated to the appropriate Revenue Cycle teams.
   • Prepare and submit letters, emails, faxes, online inquiries, appeals, and adjustments.
   • Document all follow up efforts in a clear and concise manner into the AR system.
   • Work assigned accounts as directed while reaching daily productivity goals.
   • Complete tasks by deadline provided by leadership.
   • Participate in system testing and training.
   • Attend seminars as requested.
   • Other duties as assigned. Qualifications Minimum Education and Experience
   • High School Diploma or GED
   • 2-3 years of billing, insurance follow-up or insurance payor experience
   • Experience performing account resolution with third-party payors is preferred
   • Experience in working with ICD-10, revenue codes, CPT-4 and HCPCS
   • Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook Knowledge, Skills, and Abilities
   • Ability to read and interpret documents, i.e. contracts, claims, instructions, policies and procedures in written (in English) form.
   • Ability to calculate rates using mathematical skills.
   • Ability to define problems, collect data, and establish facts to execute sound financial decisions in regard to patient account(s).
   • Must have detailed knowledge of the uniform bill guidelines.
   • Ability to be persistent in the follow up of underpaid or partially paid claims in a timely manner.
   • Ability to review, comprehend, and discuss HCFA billing with Insurance or Government agencies.
   • Knowledge of general insurance requirements.
   • Experience working directly with EOBs, contractual adjustments, and payer contracts.
   • General computer knowledge and working with electronic filing systems.
   • Ability to communicate verbally and in writing with professionalism.
   • Organizational and documentation skills to ensure timely follow-up and accurate record keeping.
   • Ability to meet productivity expectations.
   • Strong team player.
   • Strong self-motivation to achieve goals.

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5. Post your job

   There are various strategies that you can use to find the right insurance auditor for your business:

   • Consider promoting from within or recruiting from your existing workforce.
   • Ask for referrals from friends, family members, and current employees.
   • Attend job fairs at local colleges to find candidates who meet your education requirements.
   • Use social media platforms like LinkedIn, Facebook, and Twitter to reach potential job candidates.

   Post your job online:

   • Post your insurance auditor job on Zippia to find and recruit insurance auditor candidates who meet your exact specifications.
   • Use field-specific websites.
   • Post a job on free websites.

6. Interview candidates

   Your first interview with insurance auditor candidates should focus on their interest in the role and background experience. As the hiring process goes on, you can learn more about how they'd fit into the company culture in later rounds of interviews.

   Remember to include a few questions that allow candidates to expand on their strengths in their own words. Asking about their unique skills might reveal things you'd miss otherwise. At this point, good candidates can move on to the technical interview.

   The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.

7. Send a job offer and onboard your new insurance auditor

   Once you have selected a candidate for the insurance auditor position, it is time to create an offer letter. In addition to salary, the offer letter should include details about benefits and perks that are available to the employee. Ensuring your offer is competitive is vital, as qualified candidates may be considering other job opportunities. The candidate may wish to negotiate the terms of the offer, and it is important to be open to discussion and reach a mutually beneficial agreement. After the offer has been accepted, it is a good idea to formalize the agreement with a contract.

   You should also follow up with applicants who don't get the job with an email letting them know that you've filled the position.

   To prepare for the new employee's start date, you can create an onboarding schedule and complete any necessary paperwork, such as employee action forms and onboarding documents like I-9 forms, benefits enrollment, and federal and state tax forms. Human Resources should also ensure that a new employee file is created.

8. Go through the hiring process checklist

   • Determine employee type (full-time, part-time, contractor, etc.)
   • Submit a job requisition form to the HR department
   • Define job responsibilities and requirements
   • Establish budget and timeline
   • Determine hiring decision makers for the role
   • Write job description
   • Post job on job boards, company website, etc.
   • Promote the job internally
   • Process applications through applicant tracking system
   • Review resumes and cover letters
   • Shortlist candidates for screening
   • Hold phone/virtual interview screening with first round of candidates
   • Conduct in-person interviews with top candidates from first round
   • Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
   • Conduct background checks on top candidates
   • Check references of top candidates
   • Consult with HR and hiring decision makers on job offer specifics
   • Extend offer to top candidate(s)
   • Receive formal job offer acceptance and signed employment contract
   • Inform other candidates that the position has been filled
   • Set and communicate onboarding schedule to new hire(s)
   • Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)

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