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Medical Insurance Billing Coding Jobs in Wisconsin

Pavago

WI · On-site

$52 - $90/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 ...

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Medical Insurance Billing Coding information

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$13

$22

$29

How much do medical insurance billing coding jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for medical insurance billing coding in Wisconsin is $22.16, according to ZipRecruiter salary data. Most workers in this role earn between $18.17 and $23.27 per hour, depending on experience, location, and employer.

What is medical insurance billing and coding?

Medical insurance billing and coding is the process of translating healthcare services, treatments, and diagnoses into standardized codes that are used for billing purposes. Medical coders review clinical documentation and assign appropriate codes, while billers use these codes to prepare and submit insurance claims for reimbursement. This ensures that healthcare providers are paid correctly and that claims comply with regulations and insurance requirements. The work requires attention to detail, knowledge of medical terminology, and familiarity with coding systems like ICD-10, CPT, and HCPCS.

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

To thrive as a Medical Insurance Billing and Coding Specialist, you need a strong understanding of medical terminology, anatomy, coding systems (such as ICD-10, CPT, and HCPCS), and typically a certification like CPC or CCS. Familiarity with billing software, electronic health records (EHRs), and claims management platforms is essential. Attention to detail, integrity, and strong organizational and communication skills set top performers apart in this role. These competencies are crucial to ensure accurate claim submissions, reduce errors, and facilitate smooth reimbursement processes for healthcare providers.

What are some common challenges faced by medical insurance billing and coding professionals, and how can they be managed?

Medical Insurance Billing and Coding professionals often encounter challenges such as keeping up with constantly changing insurance regulations, accurately interpreting complex medical codes, and minimizing claim denials or rejections. Staying current with industry updates through continuous education and certification renewals is essential. Effective communication with healthcare providers and insurance representatives, as well as attention to detail and strong organizational skills, help manage workload and ensure accurate, timely claim submissions.

What is the difference between Medical Insurance Billing Coding vs Medical Claims Specialist?

AspectMedical Insurance Billing CodingMedical Claims Specialist
CertificationsCertified Professional Coder (CPC), Certified Coding Associate (CCA)Typically similar certifications, may include claims processing certifications
Work EnvironmentHospitals, clinics, insurance companiesInsurance companies, healthcare providers, billing offices
Job FocusAssigning codes to diagnoses and procedures for billingProcessing, reviewing, and managing insurance claims
Common Search IntentUnderstanding coding roles, certification requirementsClaims processing, reimbursement procedures

Both roles involve working with healthcare documentation and insurance processes. Medical Insurance Billing Coding focuses on assigning accurate codes for billing, while Medical Claims Specialists handle the submission and management of insurance claims. They often work together but have distinct responsibilities within the healthcare revenue cycle.

Is a job in medical insurance billing coding worth it?

Medical insurance billing and coding is a stable healthcare job that involves translating medical procedures into standardized codes for billing purposes. It typically requires certification, such as CPC or CCS, and offers opportunities for remote work and career advancement. The role provides steady employment with moderate entry requirements and a growing demand due to healthcare industry expansion.

Is it hard to get a job as a medical insurance billing coding specialist?

Getting a job as a medical insurance billing and coding specialist can vary depending on location and experience, but generally, the field has steady demand due to the need for accurate medical record management. Certification and familiarity with coding systems like ICD-10 and CPT can improve job prospects, and many roles offer flexible schedules. Entry-level positions are often available for those with relevant training or certification programs.

What are popular job titles related to Medical Insurance Billing Coding jobs in Wisconsin?

For Medical Insurance Billing Coding jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Medical Insurance Billing Coding jobs in Wisconsin look for?

The top searched job categories for Medical Insurance Billing Coding jobs in Wisconsin are:

What cities in Wisconsin are hiring for Medical Insurance Billing Coding jobs?

Cities in Wisconsin with the most Medical Insurance Billing Coding job openings:

Medical Insurance Billing Coding jobs near you
Infographic showing various Medical Insurance Billing Coding job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $46,099 per year, or $22.2 per hour.

Preauthorization and Referral Assistant

Beloit Health System

Beloit, WI • On-site

$20.25 - $28.35/hr

Full-time

Re-posted 2 days ago

Beloit Health System rating

4.5

Company rating: 4.5 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

Job description

Beloit Health System is looking to add a Preauthorization & Referral Assistant to our Insurance & Billing team!
  • Shift: First
  • Schedule: 8a - 4:30p
  • Hours per week: 40
  • Benefits Status: Eligible
  • Department: Beloit Clinic Insurance/Billing

We are seeking a detail-oriented and patient-focused Preauthorization and Referral Assistant to join our healthcare team. This role is responsible for obtaining insurance preauthorizations, processing referrals, verifying patient benefits, and coordinating with providers, insurance companies, and patients to ensure timely access to care. The ideal candidate will have strong organizational skills, experience in medical office operations, and a commitment to delivering excellent patient service.
  • Obtain and track insurance preauthorizations for procedures, diagnostic studies, medications, and specialty services.
  • Process incoming and outgoing referrals accurately and in a timely manner.
  • Verify patient insurance coverage, eligibility, benefits, and authorization requirements.
  • Communicate with insurance companies regarding authorization status, denials, appeals, and additional documentation requests.
  • Coordinate with providers and clinical staff to gather necessary medical records and supporting documentation.
  • Notify patients of authorization and referral status, appointment requirements, and any insurance-related issues.
  • Maintain accurate records in the electronic health record (EHR) system and referral tracking systems.
  • Monitor authorization expiration dates and obtain renewals as needed.
  • Ensure compliance with HIPAA and all applicable healthcare regulations.
  • Assist with resolving billing and insurance-related issues connected to referrals and authorizations.
  • Support front office and administrative functions as assigned.

Job Requirements:
  • High School graduate or equivalent.
  • Initiative and sound judgment.
  • Excellent organizational, verbal communication and interpersonal relation skills to be utilized with providers, patients, public staff and payers.
  • Must have knowledge of medical terminology, previous insurance experience, or Medical Assistant experience.
  • Excellent computer skills, with MS Word and Excel preferred.
  • Must adhere to established regulatory agencies, Beloit Health System, and department policies, rules and regulations.
  • Strong attention to detail and organizational skills.
  • Excellent verbal and written communication skills.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Maintain ethical conduct and keep confidential personal, financial and medical information about patients
  • Reporting Relationship: Director of Revenue Cycle.

Apply today to join our team!

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