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Medical Biller Insurance Coder Jobs in Wisconsin

GI Associates

Medical Coder

Wausau, WI · On-site

$20 - $26.75/hr

Advanced training/certification in billing, coding and insurance required, or equivalent experience ... Minimum one year of medical coding experience preferred. Competencies Required * Knowledge

GI Associates

Medical Coder

Wausau, WI · On-site

$20 - $26.75/hr

Advanced training/certification in billing, coding and insurance required, or equivalent experience ... Minimum one year of medical coding experience preferred. Competencies Required * Knowledge

GI Associates

Medical Coder

Wausau, WI · On-site

$20 - $26.75/hr

Advanced training/certification in billing, coding and insurance required, or equivalent experience ... ExperienceMinimum one year of medical coding experience preferred. Competencies ...

Mercyhealth

$18.25 - $23.50/hr

Is knowledgeable of CPT/HCPC coding and use of modifiers in payment determinations. * Understands ... Medical, Dental, Vision * Life & Disability Insurance * FSA/HSA Options * Generous, accruing paid ...

Pavago

WI · On-site

$60 - $80/hr

Review claims to ensure proper diagnosis and procedure code linkage. * Apply appropriate billing ... Coordinate with insurance carriers regarding claim status and payment inquiries. * Support client ...

DaMar Staffing

WI · On-site

$60 - $80/hr

High School diploma or equivalent required. * 10 years of medical coding experience OR 7 years of ... insurance companies, and other healthcare providers. * Working knowledge of CPT, HCPCS and ICD.

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Medical Biller Insurance Coder information

What is a medical biller insurance coder?

Medical Biller Insurance Coders are healthcare professionals responsible for translating medical services and diagnoses into standardized codes for billing and insurance purposes. They ensure that healthcare providers are reimbursed correctly by insurance companies by accurately processing medical claims. These coders review patient records, assign appropriate codes, and communicate with insurance companies to resolve billing issues. Their work is crucial in maintaining efficient revenue cycles for healthcare facilities and ensuring compliance with healthcare regulations.

How does a medical biller insurance coder typically collaborate with healthcare providers and insurance companies?

Medical Biller Insurance Coders work closely with healthcare providers to ensure accurate documentation and coding of patient diagnoses and procedures. They frequently communicate with medical staff to clarify information and verify records, ensuring claims are submitted correctly to insurance companies. Additionally, they interact with insurance representatives to address claim denials, resolve discrepancies, and ensure timely reimbursement. This collaboration requires strong attention to detail, good communication skills, and a thorough understanding of healthcare regulations.

What are the key skills and qualifications needed to thrive as a medical biller insurance coder, and why are they important?

To thrive as a Medical Biller Insurance Coder, you need a solid understanding of medical terminology, coding systems (such as ICD-10, CPT, and HCPCS), and knowledge of healthcare reimbursement processes, often supported by a certification like CPC or CCS. Familiarity with medical billing software, electronic health records (EHR), and insurance claim management systems is typically required. Attention to detail, organizational skills, and effective communication are crucial soft skills for resolving billing discrepancies and collaborating with providers and insurers. These skills and qualifications ensure accurate claim processing, timely reimbursement, and compliance with regulatory requirements, which are vital for the financial health of healthcare organizations.

What is the difference between Medical Biller Insurance Coder vs Medical Coder?

AspectMedical Biller Insurance CoderMedical Coder
CertificationsCertified Professional Biller (CPB), Certified Coding Associate (CCA)Certified Professional Coder (CPC), Certified Coding Specialist (CCS)
Work EnvironmentMedical offices, billing companies, hospitalsHospitals, clinics, outpatient facilities
Primary ResponsibilitiesSubmitting insurance claims, billing patients, follow-up on paymentsReviewing medical records, assigning codes for diagnoses and procedures

While both roles involve coding and billing, Medical Biller Insurance Coders focus more on insurance claims and billing processes, whereas Medical Coders primarily assign medical codes based on patient records. Both roles require similar certifications and often work in healthcare settings, but their daily tasks differ significantly.

What cities in Wisconsin are hiring for Medical Biller Insurance Coder jobs?

Cities in Wisconsin with the most Medical Biller Insurance Coder job openings:

Infographic showing various Medical Biller Insurance Coder job openings in Wisconsin as of June 2026, with employment types broken down into 1% As Needed, 71% Full Time, 23% Part Time, and 5% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

Medical Billing Specialist

Mauston, WI • On-site

Mile Bluff Medical Center
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about Mile Bluff Medical Centerexternal

$20.25 - $26/hr

Full-time

Re-posted 11 days ago

Mile Bluff Medical Center rating

6.7

Company rating: 6.7 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

636th of 1,066 rated hospitals

Job description

General Information:
Job title: Medical Billing Specialist
Schedule: Full-time, 80 hours per pay period; Monday - Friday, 8:00am - 4:30pm
**Position is not eligible for remote work. Must report on-site daily.**
Weekend rotation: No Weekends
Holiday rotation: No Holidays
Position Summary:
The Medical Billing Specialist is responsible for accurately preparing, submitting, and following up on medical claims to insurance companies and patients. This role ensures timely reimbursement, compliance with healthcare regulations, and effective communication with providers, payers, and patients.
Position Responsibilities:
  • Prepare, submit, and transmit clean medical claims to commercial, Medicare, and Medicaid payers (electronic and paper)
  • Review and resolve accounts and pre claim edits.
  • Verify patient insurance coverage and benefits.
  • Review documentation and charges for accuracy and compliance.
  • Monitor accounts receivable and follow up on outstanding balances.
  • Follow up on unpaid, denied, or rejected claims and resolve billing issues.
  • Review and reconcile account credit balances.
  • Identify and correct billing errors to prevent claim rejections.
  • Communicate and collaborate with coding, denial management specialists, insurance companies, patients, clinical staff and healthcare providers regarding billing inquiries or issues to ensure accurate charges, billing, and reimbursement.
  • Maintain compliance with HIPAA, Medicare, Medicaid, and payer guidelines.
  • Assist with patient billing questions and patient payments.
  • Interpret EOBs and remittance advice.
  • Maintain accurate billing records and documentation.
  • Support audits and compliance initiatives when documentation.
  • Perform other duties as requested.

Position Requirements:
  • High school diploma or equivalent required.
  • 1+ years of related work experience required.
  • Experience working in the medical industry is preferred.
  • Familiarity with insurance guidelines, EOBs, and claim adjudication processes.
  • Proficiency with electronic health records (EHR) and billing software
  • Exceptional accuracy and attention to detail required.

Knowledge, Skills, & Abilities:
  • Intermediate proficiency with computers is required.
  • Experience in insurance claims required.
  • Knowledge of CPT, ICD-10, and HCPCS coding systems.
  • Strong quantitative and analytical competency.
  • Self-starter with excellent interpersonal communication and problem-solving skills.

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