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Remote Claims Processor Jobs in Green Bay, WI (NOW HIRING)

LeafHome

Remote Customer Care

Kaukauna, WI · On-site +1

$16/hr

May process change orders. Required Education and Experience: * High school diploma or equivalent. Required Years of Experience 1+ years of customer service and administrative experience. Additional ...

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Remote Claims Processor information

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How much do remote claims processor jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote claims processor in Green Bay, WI is $18.64, according to ZipRecruiter salary data. Most workers in this role earn between $15.91 and $20.10 per hour, depending on experience, location, and employer.

What does a remote claims processor do?

The job duties of a remote claims processor revolve around working to process insurance claims. You typically work from home or another remote location. Your responsibilities start with assessing the claimant's insurance policy and coverage. You review documents and records related to the claim and decide on approval or denial of the claim. A processor also prepares the paperwork necessary for the insurer to process the case for the client. You also have customer service duties, such as answering patient questions and telling them about the claim status. Processors can work with medical insurance, property insurance, or casualty insurance.

What does a remote claims processor do?

A Remote Claims Processor reviews, evaluates, and processes insurance claims from a remote location, typically working from home. They verify information, assess documentation, and determine the validity of claims for insurance companies or healthcare providers. This role requires attention to detail, knowledge of insurance policies, and the ability to communicate with clients or providers to resolve discrepancies. Remote Claims Processors use specialized software to manage claims efficiently and ensure compliance with industry regulations.

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 strong attention to detail, analytical skills, and a solid understanding of insurance policies, often supported by a high school diploma or relevant experience. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent written communication, time management, and problem-solving abilities help you stand out in this role. These skills ensure accurate and efficient claims handling, customer satisfaction, and compliance with regulatory standards in a remote work environment.

What are some common challenges faced by remote claims processors, and how can they be addressed?

Remote Claims Processors often encounter challenges such as managing high volumes of claims, maintaining accuracy without in-person supervision, and communicating effectively with team members across different locations. To address these, it's essential to develop strong organizational skills, utilize digital tools for tracking and documentation, and participate actively in virtual team meetings. Proactively seeking feedback and staying updated on policy changes can also enhance efficiency and reduce errors in a remote setting.

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

AspectRemote Claims ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires licensing or certification in insurance claims examination
Work EnvironmentHome-based or remote office; primarily computer and phone workHome-based or remote; involves reviewing and analyzing insurance claims
Industry UsageInsurance, healthcare, government agenciesInsurance companies, healthcare providers, government agencies
Common Search/ComparisonYesYes

Remote Claims Processors and Remote Claims Examiners both work in the insurance industry, often remotely, handling claims. While both roles require similar credentials and work environments, Claims Examiners typically perform more detailed analysis and may require specific licensing. Understanding these differences helps job seekers identify the right position based on their skills and certifications.

More about Remote Claims Processor jobs

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For Remote Claims Processor jobs in Green Bay, WI, the most frequently searched job titles are:

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The top searched job categories for Remote Claims Processor jobs in Green Bay, WI are:

What cities near Green Bay, WI are hiring for Remote Claims Processor jobs?

Cities near Green Bay, WI with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Green Bay, WI as of August 2026, with employment types broken down into 1% Internship, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $38,773 per year, or $18.6 per hour.

Application Analyst | Epic Contract Build

Bellin

Green Bay, WI • On-site, Remote

Full-time

Medical, Life, Retirement, PTO

Posted 3 days ago

New

Job description

We are seeking an experienced Application Analyst focused within Epic Contracts to join our Managed Care team. This role serves as the primary technical and operational resource for contract modeling, reimbursement configuration, and variance workflow support across Revenue Cycle, Payer Relations, Finance, and IT teams.
The ideal candidate will possess or be wiling to learn a deep knowledge of healthcare reimbursement methodologies, payer contract interpretation, Epic Resolute Contract Management functionality. This individual will play a critical role in ensuring accurate expected reimbursement calculations, supporting contract negotiations, and maintaining contract integrity across hospital and professional billing environments.
Responsibilities:
  • Responsible for Epic Hospital Billing (HB) and Professional Billing (PB) contract build including interpreting, building, migrating and updating complex payer contracts (Commercial, Medicare, Medicare Advantage, Medicaid) on the Epic Contract Management platform. Collect, build, and maintain third-party and government payer Expected Reimbursement Contracts
  • Maintain contract builds and timely resolution of build errors
  • Develop and implement Epic contract maintenance processes to ensure contracts are updated accurately and timely
  • Maintain and document the status of Epic contract build and applicable work queues
  • Complete Epic contract modeling extracts that are used in contract negotiations
  • Primary Epic and IT resource for Contract Management and variance workflows for Payer Relations and Revenue Cycle teams
  • Interpret financial contracts to build logic within Epic Resolute for accurate expected reimbursement calculations
  • Conduct testing to validate accuracy of contract build maintenance and updates

What's Available:
  • Fulltime, 80 hours biweekly (1.0 FTE)
  • Monday-Friday core business hours
  • Remote work options for residents in WI or MI only, with occasional need to work onsite for support initiatives in either La Crosse, WI or Green Bay, WI.
  • Immigration sponsorship (e.g., H-1B) is not available for this position.
  • Based on experience, this position may also be filled at an Application Analyst or Senior Application Analyst level.
Qualifications:
  • Education: Bachelor's degree or a related field or equivalent years of experience and education
  • Experience: At least 2-4 years of relevant work experience
  • Certifications: Epic Resolute PB or HB Billing Claims certification, Preferred.
  • Strong understanding of healthcare reimbursement methodologies, payer contracts, and revenue cycle operations.
  • Experience with Medicare, Medicaid, Managed Care, and commercial payer reimbursement structures.
  • Proven ability to interpret complex contractual language and translate it into system configuration requirements.
  • Strong analytical, problem-solving, and testing skills.
  • Experience working cross-functionally with Revenue Cycle, Finance, Payer Relations, and IT stakeholders.
  • Excellent organizational, communication, and documentation skills.
Why Emplify Health by Bellin?
With so many amazing healthcare organizations in this area, why Emplify?
Emplify Health offers a proud, local history spanning more than 100 years. Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities. You can be part of an exciting dynamic place that offers an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself!
Additional perks include:
  • Top-notch benefits: 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more
  • Preventative care focused medical coverage that includes free visits to: Emplify Health by Bellin primary care providers, Urgent Care & Fast Care facilities, physical therapy sessions and any labs required during these visits
  • Professional Development: Access to online continuing education for career growth
  • Empowerment: Shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth.
  • Self-Care Culture: Encourages self-care and provides you with opportunities to be your best self at work and at home

Be a member of a passionate workforce, that feels like family and is driven to provide exceptional patient care with a strong focus on community. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork, and humility - our pillars set our foundation and our future.
Emplify Health is an Equal Opportunity Employer.

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