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Health Insurance Manager Jobs in Madison, WI (NOW HIRING)

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Health Insurance Manager information

See Madison, WI salary details

$37.8K

$83.4K

$123.4K

How much do health insurance manager jobs pay per year?

As of Aug 8, 2026, the average yearly pay for health insurance manager in Madison, WI is $83,429.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,000.00 and $99,800.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a health insurance manager?

To thrive as a Health Insurance Manager, you need expertise in insurance regulations, claims processing, and health policy, usually backed by a bachelor’s degree in business, healthcare administration, or a related field. Familiarity with claims management systems, insurance software, and certifications such as Health Insurance Associate (HIA) or Certified Insurance Counselor (CIC) is often expected. Strong leadership, problem-solving abilities, and excellent interpersonal communication distinguish top performers in this position. These combined skills ensure effective management of insurance operations, regulatory compliance, and exceptional service to both clients and team members.

What are the primary challenges health insurance managers face in their day-to-day work?

Health Insurance Managers often contend with the complexities of constantly evolving healthcare regulations, adapting processes to maintain compliance, and managing high volumes of claims or policy changes. They must balance the needs of clients, insurance providers, and internal teams while resolving escalated issues quickly and fairly. Effective organization and continuous learning are essential to stay ahead in this dynamic environment. Managing a diverse team and maintaining excellent customer service standards can make the role fast-paced yet rewarding for those who thrive on multi-tasking and handling challenges proactively.

What does a health insurance manager do?

A Health Insurance Manager oversees the administration of health insurance programs, ensuring compliance with regulations and optimizing benefits for employees or clients. They work with insurance providers, manage claims processing, and resolve coverage issues. Their role often involves analyzing policies, negotiating contracts, and implementing cost-effective healthcare solutions. Effective communication and knowledge of healthcare laws are essential for success in this role.

What are the most commonly searched types of Health Insurance jobs in Madison, WI? The most popular types of Health Insurance jobs in Madison, WI are:
What are popular job titles related to Health Insurance Manager jobs in Madison, WI? For Health Insurance Manager jobs in Madison, WI, the most frequently searched job titles are:
What job categories do people searching Health Insurance Manager jobs in Madison, WI look for? The top searched job categories for Health Insurance Manager jobs in Madison, WI are:
What cities near Madison, WI are hiring for Health Insurance Manager jobs? Cities near Madison, WI with the most Health Insurance Manager job openings:
Health Insurance Manager jobs near you
Infographic showing various Health Insurance Manager job openings in Madison, WI as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $83,429 per year, or $40.1 per hour.

Biller & Insurance Specialist - 1.0 FTE

Prairie Ridge Health Inc.

Columbus, WI • On-site

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Prairie Ridge Health rating

8.2

Company rating: 8.2 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

97th of 1,055 rated hospitals

Job description

Prairie Ridge Health is looking for a new team member to join our Business Services Department in the role of Biller and Insurance Specialist. This position is the biller for patients and Health Plans; Government programs; Medicare, Medicaid, military and veterans’ health care programs, Third Party Administrators (TPA), Worker’s Compensation and commercial lines of business including primary and secondary insurance payers...….

Position Description:

This position is the biller for patients and Health Plans; Government programs; Medicare, Medicaid, military and veterans’ health care programs, Third Party Administrators (TPA), Worker’s Compensation and commercial lines of business including primary and secondary insurance payers. All of these will be hereinafter referred to as “Payers”. It is the primary liaison between patients and the organization regarding hospital and clinic billings, payments and collections. They are responsible for interactions with all Payers regarding timely and accurate claims filings, follow-up, appeals and applicable claims re-submissions. They oversee all aspects and edits of electronic and paper claims submissions and self-pay billings. They ensure billing compliance with federal guidelines and contractual agreements. They serve as a resource regarding the Centers for Medicare and Medicaid (CMS) guidelines for the business office and contractual agreements. They also analyze insurance credit balances to ensure accurate and timely refunding to appropriate parties.

EDUCATION EQUIREMENTS/LICENSURE/CERTIFICATION/REGISTRATION

  • High school diploma (or equivalent) required.
  • Experience paper and electronic billing for Medicare, Medicaid, managed care, commercial insurances and workers compensation; including knowledge of hospital and professional claim forms strongly preferred.
  • Experience with revenue codes, CPT, HCPCs, and ICD-10 coding experience strongly preferred.
  • Experience with medical terminology strongly preferred.
  • Previous experience with health insurance, collection techniques, or patient registration preferred.

Shift: Monday-Friday, days.
FTE: 1.0

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