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Remote Claim Processor Jobs in Wisconsin (NOW HIRING)

Ourhrconnect

$309K - $413K/yr

We operate one of the most sophisticated data processing centers in the Southeast. We also have a ... Develops claim adjudication criteria for situations requiring medical judgment. Provides input on ...

Ourhrconnect

$309K - $413K/yr

We operate one of the most sophisticated data processing centers in the Southeast. We also have a ... Develops claim adjudication criteria for situations requiring medical judgment. Provides input on ...

Ourhrconnect

$309K - $413K/yr

We operate one of the most sophisticated data processing centers in the Southeast. We also have a ... Develops claim adjudication criteria for situations requiring medical judgment. Provides input on ...

Ourhrconnect

$309K - $413K/yr

We operate one of the most sophisticated data processing centers in the Southeast. We also have a ... Develops claim adjudication criteria for situations requiring medical judgment. Provides input on ...

Ourhrconnect

$309K - $413K/yr

We operate one of the most sophisticated data processing centers in the Southeast. We also have a ... Develops claim adjudication criteria for situations requiring medical judgment. Provides input on ...

Ourhrconnect

$309K - $413K/yr

We operate one of the most sophisticated data processing centers in the Southeast. We also have a ... Develops claim adjudication criteria for situations requiring medical judgment. Provides input on ...

Ourhrconnect

$309K - $413K/yr

We operate one of the most sophisticated data processing centers in the Southeast. We also have a ... Develops claim adjudication criteria for situations requiring medical judgment. Provides input on ...

Ourhrconnect

$309K - $413K/yr

We operate one of the most sophisticated data processing centers in the Southeast. We also have a ... Develops claim adjudication criteria for situations requiring medical judgment. Provides input on ...

SmithRx

Pharmacy Technician (Seasonal)

Madison, WI · Remote

$17.75 - $21.50/hr

Responsible for triaging the process of clinical review for prior authorization requests at ... Build and adjust authorizations under protocol within the claim adjudication system * Use pharmacy ...

Harris

$26/hr

... processes: verify claim payment status, rebill to patient's insurance, proration to correct ... remote

Harris

$26/hr

... processes: verify claim payment status, rebill to patient's insurance, proration to correct ... remote

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All JobsClaim Processor JobsRemote Claim Processor JobsRemote Claim Processor Jobs in Wisconsin

Remote Claim Processor information

What is a remote claim processor?

A Remote Claim Processor is a professional who reviews, evaluates, and processes insurance claims from a remote location, often from home. They verify the accuracy of submitted information, ensure policy guidelines are met, and decide whether claims should be approved, denied, or require further investigation. This role typically involves working with health, auto, or property insurance claims and requires strong attention to detail, analytical skills, and familiarity with relevant software systems. Working remotely allows claim processors to handle their duties outside of a traditional office environment while maintaining communication with their team and clients through digital platforms.

What skills and qualifications are needed to thrive as a remote claim processor?

To thrive as a Remote Claim Processor, you need strong analytical skills, attention to detail, and a background in insurance or healthcare administration, typically supported by a high school diploma or relevant certification. Familiarity with claims management software, electronic health record (EHR) systems, and Microsoft Office is crucial for daily tasks. Excellent communication, problem-solving abilities, and self-motivation help remote claim processors efficiently resolve issues and work independently. These skills ensure accurate claims processing, timely resolution, and high customer satisfaction in a remote environment.

What are common challenges faced by remote claim processors, and how can they be managed?

Remote claim processors often encounter challenges such as maintaining effective communication with team members and staying up-to-date with changing insurance policies and procedures. To manage these challenges, it's important to leverage collaboration tools like instant messaging and video conferencing, and to participate actively in virtual training sessions. Additionally, setting up a dedicated workspace and following a structured daily routine can help ensure productivity and accuracy when processing claims remotely.

What is the difference between Remote Claim Processor vs Remote Claims Examiner?

AspectRemote Claim ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsHigh school diploma or equivalent; often requires insurance or healthcare-related certifications
Work EnvironmentHome-based, independent work settingHome-based, independent work setting
Industry UsageInsurance, healthcare, government agenciesInsurance, healthcare, government agencies
Job FocusProcessing insurance claims, data entry, verifying informationReviewing and adjudicating insurance claims, ensuring compliance

Both roles are remote positions within the insurance and healthcare industries, requiring similar credentials and work environments. The main difference lies in their focus: Remote Claim Processors handle initial claim processing and data entry, while Remote Claims Examiners review and make decisions on claims to ensure accuracy and compliance.

What are popular job titles related to Remote Claim Processor jobs in Wisconsin?

For Remote Claim Processor jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Remote Claim Processor jobs in Wisconsin look for?

The top searched job categories for Remote Claim Processor jobs in Wisconsin are:

Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in Wisconsin as of August 2026, with employment types broken down into 81% Full Time, 17% Part Time, and 2% Contract. Highlights an 81% Physical, 6% Hybrid, and 13% Remote job distribution.

Part-Time Remote Licensed Psychologist

Milwaukee, WI • On-site, Remote

Rula Health
1 - 5K employees
Learn more about Rula Healthexternal

$90/hr

Contractor

Medical, Dental, Vision, Life

Re-posted 3 days ago

Job description

About Rula
Rula is a comprehensive behavioral health solution that makes it easy for individuals, couples, and families to find the right provider covered by their health insurance. We are deeply committed to providing high-quality care that improves the lives of our clients, investing in the providers who deliver that care, and always operating in an ethical and compliant manner.
We are hiring licensed therapists to join our diverse network of providers. At Rula, we handle the administrative work (new client marketing, verifying insurance, credentialing, billing, support, EHR, audits, and compliance) so that you can focus on delivering great care for clients.
Compensation Details
  • $90 per session reimbursement for initial or 90837 appointments (53-minute session)
  • Direct deposit every two weeks with no need to worry about unpaid claims
  • Rula pays you even when the patient no-shows, cancels late, or the claim is denied

The amount of time you allocate to Rula clients is entirely up to you!
Why Join Rula?
Our dedicated therapist community is made up of thousands of providers across the country, each with diverse backgrounds, experiences and specialties. Therapists choose to work with Rula as they're able to focus on delivering quality client care while leaving all the administrative heavy-lifting to us. Here's what else Rula has to offer:
  • Quick credentialing: Our dedicated team will help fast-track your enrollment with our insurance partners so you can get credentialed and ready to see clients in less than a month.
  • Reliable referrals: We fill your calendar quickly and consistently so you can maximize your total income while working with clients aligned with your specialties.
  • Practice support: We manage the administrative side of private practice, including marketing, verifying client insurance benefits, and handling the invoicing/billing process so you can accept insurance without ever interacting with it directly. Further, we have a dedicated Support team so you and your clients have the help you need when you need it.
  • Clinical leadership and support: Rula's executive team includes a licensed provider engaged in business decisions and planning, ensuring the provider perspective is always included. Our Care Coordination team manages Higher Level of Care requests for your clients, and our Quality Team of licensed clinicians leads peer reviews, develops practice guidelines, and provides clinical training resources.
  • Fully compliant and ethical: We are fully compliant with HIPAA and 42 CFR Part 2 and have a Medical Records team to handle all releases, audits, or record requests. Our practices align with your professional Code of Ethics and all regulatory requirements.
  • Outcome measures: We continuously measure client outcomes and the therapeutic alliance throughout their treatment so that you have real-time data to help understand their progress and adjust your approach or the treatment plan as needed.
  • Provider community: Rula offers a thriving provider-only online community for asynchronous connection and resource sharing, as well as weekly live peer-to-peer case consultations facilitated by a licensed clinician. We have drop-in provider sessions three times each week for questions to help with specific client questions or your career development.
  • Free continuing education units: Providers who contract with Rula become eligible for CEU benefits after completing just one appointment. And access is free with no limit to the number of courses and CE credits.

Benefits:
  • Health, dental, vision, and life insurance coverage available via partnership with Stride
  • No-show protection: get paid 100% for your time if a client no-shows or late-cancels
  • Free annual membership to earn CEU credits via partnership with Clearly Clinical
  • Get paid for referring colleagues to Rula

Minimum Qualifications
  • Must be licensed as an LP
  • Must be licensed in Wisconsin
  • Must be able to provide telehealth

Work Remotely
  • Yes
  • WI, US

Apply