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Remote Claims Processing Jobs in Lancaster, WI (NOW HIRING)

Remote Claims Processing information

See Lancaster, WI salary details

$10

$17

$23

How much do remote claims processing jobs pay per hour?

As of Aug 1, 2026, the average hourly pay for remote claims processing in Lancaster, WI is $17.08, according to ZipRecruiter salary data. Most workers in this role earn between $14.57 and $18.41 per hour, depending on experience, location, and employer.

What are some common challenges faced in remote claims processing roles, and how can they be effectively managed?

Remote claims processing professionals often encounter challenges such as managing high volumes of claims, maintaining clear communication with team members, and ensuring data security while working from home. Effective time management and strong organizational skills are key to handling large workloads efficiently. Regular check-ins with supervisors and using secure, company-approved communication tools can help maintain collaboration and protect sensitive information. Many organizations also provide training and support to help remote processors stay up-to-date with changing regulations and best practices.

What are the key skills and qualifications needed to thrive as a Remote Claims Processor, and why are they important?

To thrive as a Remote Claims Processor, you need a strong understanding of insurance policies, attention to detail, and relevant experience or education in insurance or finance. Familiarity with claims management software, electronic document systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, time management, and problem-solving abilities help you stand out, especially when working independently. These skills ensure accurate, timely claims resolutions and effective collaboration with clients and colleagues in a remote environment.

What is remote claims processing?

Remote claims processing is the evaluation and handling of insurance claims by professionals who work from locations outside of a traditional office, often from home. These processors review claim submissions, verify information, assess coverage, and authorize payments or request additional information. Remote claims processors use secure online systems and communication tools to collaborate with colleagues and clients. This role requires strong attention to detail, confidentiality, and proficiency with digital platforms. Many insurance companies now offer remote claims processing positions to increase flexibility and efficiency.

What is the difference between Remote Claims Processing vs Remote Claims Adjuster?

AspectRemote Claims ProcessingRemote Claims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires insurance licenses and adjuster certifications
Work EnvironmentHome-based, administrative settingHome-based or field, investigative and evaluative tasks
Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusting firms
Job FocusProcessing claims, data entry, customer serviceInvestigating claims, assessing damages, settlement negotiations

Remote Claims Processing and Remote Claims Adjuster roles share similarities in industry and work environment but differ in job focus and required credentials. Claims processors handle administrative tasks and data entry, while claims adjusters evaluate damages and negotiate settlements. Both roles are essential in the insurance industry and often require specialized certifications.

What cities near Lancaster, WI are hiring for Remote Claims Processing jobs? Cities near Lancaster, WI with the most Remote Claims Processing job openings:
Infographic showing various Remote Claims Processing job openings in Lancaster, WI as of July 2026, with employment types broken down into 84% Full Time, 14% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $35,534 per year, or $17.1 per hour.

Medical Billing Specialist

Mi Familia & Summit Home Health and Hospice

Platteville, WI โ€ข Remote

$58K - $74K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago


Job description

Job Location: Hybrid (United States)

Employment Type: Full-Time

About Summit Home Health & Hospice

Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services. Our team is committed to delivering exceptional patient-centered care while maintaining the highest standards of clinical and operational excellence.

Summit Home Health & Hospice is seeking a detail-oriented and experienced Medical Billing Specialist to join our growing team. The Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. The ideal candidate possesses strong knowledge of healthcare billing regulations, insurance verification procedures, and reimbursement processes within a home health or hospice environment.

Responsibilities

Prepare, review, and submit electronic and paper claims to Medicare, Medicaid, commercial insurance providers, and other payers.

Verify patient insurance eligibility, benefits, and coverage information.

Monitor claim status and follow up on unpaid, denied, or underpaid claims.

Investigate and resolve billing discrepancies and claim rejections.

Post payments, adjustments, and patient balances accurately within billing systems.

Communicate with insurance companies regarding claim submissions, appeals, and reimbursement issues.

Prepare and submit appeals for denied claims when appropriate.

Maintain accurate patient billing records and documentation.

Collaborate with clinical, intake, and administrative teams to ensure billing accuracy.

Generate billing reports and assist with revenue cycle analysis.

Ensure compliance with HIPAA, Medicare, Medicaid, and other applicable healthcare regulations.

Support month-end billing reconciliation and reporting activities.

Assist patients and families with billing inquiries in a professional and compassionate manner.

Requirements

High school diploma or equivalent.

Minimum of 2 years of medical billing experience.

Knowledge of Medicare, Medicaid, and commercial insurance billing processes.

Familiarity with CPT, ICD-10, and HCPCS coding standards.

Experience using Electronic Health Records (EHR) and medical billing software.

Strong attention to detail and organizational skills.

Excellent written and verbal communication skills.

Ability to work independently in a remote environment.

Compensation

Salary Range: $58,000 - $74,000 annually, depending on experience, qualifications, location, and demonstrated expertise.

Additional compensation opportunities may include:

Performance-based bonuses

Merit-based salary increases

Professional development reimbursement

Benefits

Medical, Dental, and Vision Insurance

401(k) Retirement Plan with Company Match

Paid Time Off (PTO)

Paid Holidays

Life and AD&D Insurance

Short-Term and Long-Term Disability Coverage

Employee Assistance Program (EAP)

Continuing Education and Professional Development Support

Remote Work Flexibility

Career Growth and Advancement Opportunities

Wellness Programs

Work Environment

Fully remote position available for qualified U.S.-based candidates.

High school diploma or equivalent.

Minimum of 2 years of medical billing experience.

Knowledge of Medicare, Medicaid, and commercial insurance billing processes.

Familiarity with CPT, ICD-10, and HCPCS coding standards.

Experience using Electronic Health Records (EHR) and medical billing software.

Strong attention to detail and organizational skills.

Excellent written and verbal communication skills.

Ability to work independently in a remote environment.

Medical, Dental, and Vision Insurance.

401(k) Retirement Plan with Company Match.

Paid Time Off (PTO).

Paid Holidays.

Life and AD&D Insurance.

Short-Term and Long-Term Disability Coverage.

Employee Assistance Program (EAP).

Continuing Education and Professional Development Support.

Remote Work Flexibility.

Career Growth and Advancement Opportunities.

Wellness Programs.

Work Environment.

Fully remote position available for qualified U.S.-based candidates.