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Entry Level Medical Claims Processor Jobs in Wisconsin

Network Health, Inc

Claims Analyst II

Brookfield, WI · On-site +1

Processes Professional and Facility claims for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while ...

Network Health

Claims Analyst II

Menasha, WI · On-site +1

Processes Professional and Facility claims for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while ...

Network Health, Inc

Claims Analyst II

Menasha, WI · On-site +1

Processes Professional and Facility claims for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while ...

Acuity Insurance

Claims Intern

Sheboygan, WI

$19 - $24/hr

In this role you will preform an investigation and evaluation process by determining coverage under ... EXPERIENCE: Entry Level. Customer service experience preferred. OTHER QUALIFICATIONS: * Ability and ...

Acrisure

Claims Specialist

Middleton, WI · On-site

$50K - $55K/yr

Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders throughout the claims process * Maintain accurate and timely documentation within the claims ...

Network Health WI

Claims Analyst II

Menasha, WI · On-site

Processes Professional and Facility claims for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while ...

Accuity

Claims Intern

Sheboygan, WI · On-site

$19 - $24/hr

In this role you will preform an investigation and evaluation process by determining coverage under ... EXPERIENCE: Entry Level. Customer service experience preferred. OTHER QUALIFICATIONS: * Ability and ...

Acuity

Claims Intern

Sheboygan, WI · On-site

In this role you will preform an investigation and evaluation process by determining coverage under ... EXPERIENCE: Entry Level. Customer service experience preferred. OTHER QUALIFICATIONS: * Ability and ...

TEKsystems

Claims Analyst

Brookfield, WI · Remote

$19.25/hr

... medical policies, and established procedures. * Determine whether claims should be approved, denied ... Process approved claims for payment while maintaining confidentiality and data integrity.

TEKsystems

Claims Analyst

Menasha, WI · Remote

$19.25/hr

... medical policies, and established procedures. * Determine whether claims should be approved, denied ... Process approved claims for payment while maintaining confidentiality and data integrity.

Great American Insurance Group

$20 - $27/hr

Verify coverage, process claim-related transactions, and support payment and financial processing ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

Progressive

Claims Adjuster Trainee

Hudson, WI · Hybrid

$56K - $60K/yr

... the claims process from start to finish. You'll have the support of a collaborative team and ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

Progressive

Claims Adjuster Trainee

Mcfarland, WI · Hybrid

$54K - $57K/yr

... the claims process from start to finish. You'll have the support of a collaborative team and ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

Progressive

Claims Adjuster Trainee

Menomonie, WI · Hybrid

$54K - $57K/yr

... the claims process from start to finish. You'll have the support of a collaborative team and ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

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All JobsMedical Claims Processor JobsEntry Level Medical Claims Processor JobsEntry Level Medical Claims Processor Jobs in Wisconsin

Entry Level Medical Claims Processor information

See Wisconsin salary details

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How much do entry level medical claims processor jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for entry level medical claims processor in Wisconsin is $19.65, according to ZipRecruiter salary data. Most workers in this role earn between $17.45 and $21.83 per hour, depending on experience, location, and employer.

What is an entry level medical claims processor?

An Entry Level Medical Claims Processor is responsible for reviewing and processing medical insurance claims submitted by healthcare providers and patients. They verify accuracy, ensure claims meet policy requirements, and enter data into processing systems. Their role helps facilitate timely payments and resolves issues related to denied or incorrect claims. Strong attention to detail, knowledge of medical billing codes, and basic computer skills are essential for success in this role.

What does an entry level medical claims processor do?

A typical day for an Entry Level Medical Claims Processor involves reviewing medical claims for accuracy and completeness, inputting data into claims management systems, and communicating with healthcare providers or insurance companies to resolve discrepancies. You may also be responsible for verifying patient information, checking eligibility, and ensuring claims comply with current regulations and company policies. Collaboration with other claims processors, supervisors, or billing teams is common to resolve issues and meet processing deadlines. This role usually follows regular business hours in an office or remote work environment and provides structured training to help you learn the systems and processes. Over time, you may have the opportunity to advance to senior processor or specialist roles as you gain experience.

What are the key skills and qualifications needed to thrive as an entry level medical claims processor?

To thrive as an Entry Level Medical Claims Processor, you need attention to detail, basic knowledge of medical terminology or insurance procedures, and a high school diploma or equivalent. Familiarity with claims processing software, electronic health records (EHR) systems, and Microsoft Office tools is often required, while some employers may value a medical billing and coding certification. Strong organizational skills, problem-solving abilities, and clear communication are important soft skills in this position. These competencies ensure that claims are processed accurately and efficiently, which helps prevent errors, speeds up reimbursements, and supports overall workflow in healthcare administration.

What are the most commonly searched types of Medical Claims Processor jobs in Wisconsin?

The most popular types of Medical Claims Processor jobs in Wisconsin are:

What are popular job titles related to Entry Level Medical Claims Processor jobs in Wisconsin?

For Entry Level Medical Claims Processor jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Entry Level Medical Claims Processor jobs in Wisconsin look for?

The top searched job categories for Entry Level Medical Claims Processor jobs in Wisconsin are:

Entry Level Medical Claims Processor jobs near you
Infographic showing various Entry Level Medical Claims Processor job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $40,872 per year, or $19.6 per hour.

Claims Analyst II

Network Health, Inc

Brookfield, WI • On-site, Remote

Full-time

This job post has expired 2 days ago. Applications are no longer accepted.

Network Health rating

7.9

Company rating: 7.9 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

187th of 315 rated insurance

Job description

Network Health’s success is rooted in its mission to create healthy and strong Wisconsin communities. This mission drives the decisions we make, including the people we choose to join our growing team.

We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role, you will determine whether to return, pend, deny, or pay claims in accordance with established policies and procedures. Key responsibilities of this position include the following:

  • Adjudicate claims by following departmental policies, operating memos, and corporate guidelines.
  • Resolve claims and related issues in compliance with policy provisions.
  • Compare claims applications and provider statements with policy files and other records to ensure completeness and validity.
  • Process payments for claims that are approved.

This position plays a vital role in ensuring accurate and efficient claims processing, contributing to the overall success of Network Health.
Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required), at our office in Brookfield or Menasha, or a combination of both in our hybrid workplace model.
Hours: 1.0 FTE, 40 hours per week between 8am-5pm Monday through Friday.
 

Check out our 2025 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.

Job Responsibilities:

    • Processes Professional and Facility claims for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while maintaining a high level of confidentiality.
    • Reviews claims to ensure compliance with proper billing standards and completeness of information. 
    • Obtains additional information from appropriate person and/or agency as needed.  
    • Maintains department quality standards.
    • Maintains established department turn-around processing time. Maintain and/or improves individual production rate standards and department quality standards.
    • Identifies potential coordination of benefits (COB), Workers Compensation, and Subrogation issues and adjudicates claims accordingly.
    • Investigates and resolves pending claims in accordance with established time frames.  Identifies claims needing to be pended or suspended. Reviews pending claims timely and denies claims after established time frame is reached without resolution.
    • Monitors computerized system for claims processing errors and make corrections and/or adjustments as needed.
    • Keeps current on group contracts specifics, provider discounts, percentages and per diems, enrollee certificates and agreements, authorizations and other utilization management policies, etc.
    • Reviews home office claims for payment up to $18,000.00.
    • Reviews claims for re-pricing.  Enters eligible claim data into appropriate WRAP network re-pricing website.  Overrides claims allowed amounts to apply internal/external discounts.
    • Appropriately documents attributes and memos for pertinent information related to claims payment.
    • Processes specialty claims (transplant, URN, COB) to determine appropriate pricing according to external contract.
    • Performs other duties and responsibilities as assigned. 

    Job Requirements:

    • High school diploma or equivalent preferred. 
    • 2-4 years claims processing experience required
    • Knowledge of current procedural terminology (CPT) and international classification of diseases (ICD-9 and ICD-10). Medical terminology, COB processing, subrogation.
    • Past experience using QNXT™ Claims Workflow a plus
    • Prior experience with ACA, Medicaid, or similar health plans preferred.
    • Coding experience preferred.

     

    Network Health is an Equal Opportunity Employer.

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