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Billing And Coding Jobs in Bloomer, WI (NOW HIRING)

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Billing And Coding information

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$14

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$30

How much do billing and coding jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for billing and coding in Bloomer, WI is $22.95, according to ZipRecruiter salary data. Most workers in this role earn between $18.85 and $24.13 per hour, depending on experience, location, and employer.

What is a billing and coding specialist?

Billing and coding specialists are healthcare professionals responsible for translating medical diagnoses, procedures, and services into standardized codes used for billing and insurance purposes. They ensure that healthcare providers are properly reimbursed by insurance companies and that medical records are accurately maintained. These roles require knowledge of medical terminology, coding systems like ICD-10 and CPT, and regulations such as HIPAA. Billing and coding specialists play a vital role in the healthcare revenue cycle and help prevent billing errors and fraud.

What is the difference between Billing And Coding vs Medical Billing?

AspectBilling And CodingMedical Billing
CertificationsCertified Professional Coder (CPC), Certified Coding Specialist (CCS)Often requires similar certifications, may include billing-specific credentials
Work EnvironmentHospitals, clinics, physician offices, insurance companiesPrimarily healthcare providers' offices and billing companies
Job FocusAssigning medical codes and processing claimsSubmitting and following up on insurance claims, patient billing

Billing and Coding professionals focus on assigning accurate medical codes and ensuring claims are correctly processed, while Medical Billing specialists primarily handle submitting claims and managing payments. Both roles often overlap and require similar certifications, working in healthcare settings to ensure proper reimbursement and compliance.

What are some common challenges faced by billing and coding professionals in healthcare settings?

Billing and Coding professionals often encounter challenges such as keeping up with frequent changes in coding standards (like ICD-10 and CPT), ensuring the accuracy of patient data, and staying compliant with healthcare regulations. They must also navigate insurance denials and resolve discrepancies between clinical documentation and billing codes. Success in this role requires strong attention to detail, adaptability, and effective communication with healthcare providers and insurance companies.

What are the key skills and qualifications needed to thrive as a billing and coding specialist?

To thrive as a Billing and Coding Specialist, you need a strong understanding of medical terminology, coding systems (like ICD-10, CPT, HCPCS), and healthcare reimbursement processes, often supported by a certification such as CPC or CCS. Familiarity with medical billing software, electronic health record (EHR) systems, and claims processing tools is essential. Attention to detail, organizational skills, and effective communication are crucial soft skills for minimizing errors and coordinating with healthcare professionals. These competencies ensure accurate billing, timely reimbursement, and compliance with regulatory standards, all of which are vital for the financial health of healthcare organizations.
What cities near Bloomer, WI are hiring for Billing And Coding jobs? Cities near Bloomer, WI with the most Billing And Coding job openings:
Billing And Coding jobs near you
Infographic showing various Billing And Coding job openings in Bloomer, WI as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 4% Hybrid, and 5% Remote job distribution, with an average salary of $47,746 per year, or $23 per hour.

Appeals Specialist

Group Health Cooperative of Eau Claire

Altoona, WI • On-site

Full-time

Medical, Dental, Retirement, PTO

Posted 9 days ago

Job description

Position Purpose
The Appeals Specialist will be responsible for the appeals process from receipt to resolution for both provider appeals and member appeals, grievances, and complaints. This position will research and resolve complex issues related to claims and enrollment, provider payment disputes, reversals, member authorization denials, and service quality complaints. The Appeals Specialist will schedule member appeals and lead the Grievance and Appeal Committee meetings for members to appeal authorization denials and/or quality complaints. Finally, this position is responsible for tracking and reporting on data related to these processes. This position will report to the Director of Provider Relations.
Essential Position Functions
  • Coordinate the formal provider appeals process both internally for first level and externally for second level appeals. This includes, preparing and sending letters, scheduling, and leading the appeal meeting, and drafting and sending resolution.
  • Coordinate the informal provider payment dispute process and determine the necessary actions to resolve the problem.
  • Coordinate the member grievance and appeal process with Appeals Coordinator. This includes member contact and coordination (verbal and written correspondence), tracking grievances and appeal, scheduling and leading Grievance and Appeal Committee, clinical consultations with the Health Management Department, and internal and external reporting.
  • Coordinate member complaint process. This includes member contact and coordination (verbal and written correspondence), tracking complaints, scheduling and leading Grievance and Appeal Committee, and internal and external reporting
  • Research and resolve complex claims that pertain to membership or billing issues; send claim and payment reversals to appropriate staff if necessary.
  • Work closely with the Internal Coder and Claims management team to resolve billing issues. Provide education to providers if appropriate.
  • Appeals Specialist will review all decisions and generate resolution letters for member and provider appeals.
Minimum Requirements of the Position
  • Excellent verbal and written communication skills required;
  • One to two years of customer service experience focusing on customer complaint resolution is preferred;
  • Bachelor’s degree preferred or equivalent experience required;
  • Knowledge of the health insurance industry preferred;
  • Organized and attentive to detail;
  • Proficiency with Microsoft Word, Excel is required.
  • Ability to work well with many different personality types;
  • Excellent work ethic with the ability to work in a team environment as well as independently;
  • Strong analytical and problem solving skills.
Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes).
The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard.
This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: resumes@group-health.com. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.

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