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Remote Insurance Verification Jobs in Wisconsin (NOW HIRING)

WPS

Appeals Claims Processor

Madison, WI · On-site +1

$19.60/hr

This is a 100% remote opportunity within any of our approved remote worker states. We are open to ... Translate, research, and verify claims information to determine if all requirements have been met.

WPS Health Solutions

Appeals Claims Processor

Madison, WI · On-site +1

$19.60/hr

This is a 100% remote opportunity within any of our approved remote worker states. We are open to ... Translate, research, and verify claims information to determine if all requirements have been met.

First American

$26.88 - $35.82/hr

You'll analyze public records, verify ownership, and identify potential title issues while ... At least 3 years of directly related commercial title insurance experience in title searching ...

First American

$26.88 - $35.82/hr

You'll analyze public records, verify ownership, and identify potential title issues while ... At least 3 years of directly related commercial title insurance experience in title searching ...

First American

$26.88 - $35.82/hr

You'll analyze public records, verify ownership, and identify potential title issues while ... At least 3 years of directly related commercial title insurance experience in title searching ...

First American

$26.88 - $35.82/hr

You'll analyze public records, verify ownership, and identify potential title issues while ... At least 3 years of directly related commercial title insurance experience in title searching ...

First American

$26.88 - $35.82/hr

You'll analyze public records, verify ownership, and identify potential title issues while ... At least 3 years of directly related commercial title insurance experience in title searching ...

First American

$26.88 - $35.82/hr

You'll analyze public records, verify ownership, and identify potential title issues while ... At least 3 years of directly related commercial title insurance experience in title searching ...

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All JobsInsurance Verification JobsRemote Insurance Verification JobsRemote Insurance Verification Jobs in Wisconsin

Remote Insurance Verification information

See Wisconsin salary details

$12

$19

$26

How much do remote insurance verification jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for remote insurance verification in Wisconsin is $19.05, according to ZipRecruiter salary data. Most workers in this role earn between $16.49 and $20.38 per hour, depending on experience, location, and employer.

What is the difference between Remote Insurance Verification vs Remote Claims Processing Specialist?

AspectRemote Insurance VerificationRemote Claims Processing Specialist
Primary RoleVerify insurance coverage and eligibilityReview and process insurance claims for reimbursement
Required SkillsKnowledge of insurance policies, data entry, attention to detailClaims review, documentation, problem-solving
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare or insurance companies
CertificationsInsurance verification or billing certifications often preferredClaims processing certifications may be beneficial

Remote Insurance Verification and Remote Claims Processing Specialist roles both operate in the insurance and healthcare industries, often remotely. While verification focuses on confirming coverage details, claims processing involves reviewing and managing claims for reimbursement. Both roles require attention to detail and familiarity with insurance policies, but they differ in their specific responsibilities and certifications.

What are the key skills and qualifications needed to thrive as a Remote Insurance Verification Specialist, and why are they important?

To thrive as a Remote Insurance Verification Specialist, you need a solid understanding of health insurance policies, medical terminology, and experience with insurance verification processes, often supported by a high school diploma or relevant certification. Proficiency in insurance portals, electronic health record (EHR) systems, and spreadsheet software is typically required. Strong attention to detail, organizational skills, and effective communication are essential soft skills for handling sensitive patient data and coordinating with providers. These abilities are vital to ensure accurate insurance verification, prevent claim denials, and support smooth healthcare operations.

What are some common challenges faced in a remote insurance verification role, and how can I overcome them?

In a remote insurance verification role, one common challenge is navigating varying insurance policies and provider requirements, which can lead to delays or errors if not carefully reviewed. Communication can also be more complex when collaborating virtually with healthcare providers, patients, or insurance companies. To overcome these challenges, staying organized with detailed documentation, utilizing reliable communication tools, and proactively clarifying any uncertainties with team members or clients can help maintain efficiency and accuracy. Regular training and staying updated on industry changes also contribute to success in this role.

What is a Remote Insurance Verification Specialist?

A Remote Insurance Verification Specialist is a professional who works from a remote location to confirm patients' insurance coverage and benefits. They communicate with insurance companies, healthcare providers, and patients to ensure that medical procedures or services are covered by the patient's insurance plan. These specialists play a crucial role in preventing billing issues and ensuring that claims are processed accurately and efficiently. Their work helps healthcare organizations minimize denials and delays in reimbursement. The position typically requires strong communication skills, attention to detail, and familiarity with insurance policies and medical terminology.

What Are Remote Insurance Verification Jobs?

Remote insurance verification jobs include verification specialists, test claims supervisors, verification representatives, and verification clerks. The specific duties for these positions differ, but your basic responsibilities in any of these jobs overlap. In general, you are responsible for ensuring that a patient has coverage for a specific medical procedure, medication, or test. You check the patient’s benefits and communicate with the insurance provider to get authorization to complete the tests or administer the medication. Insurance verification workers can work for hospitals, pharmacies, clinics, or health groups.

More about Remote Insurance Verification jobs
What are the most commonly searched types of Insurance Verification jobs in Wisconsin? The most popular types of Insurance Verification jobs in Wisconsin are:
What are popular job titles related to Remote Insurance Verification jobs in Wisconsin? For Remote Insurance Verification jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Verification jobs in Wisconsin look for? The top searched job categories for Remote Insurance Verification jobs in Wisconsin are:
What cities in Wisconsin are hiring for Remote Insurance Verification jobs? Cities in Wisconsin with the most Remote Insurance Verification job openings:
Remote Insurance Verification jobs near you
Infographic showing various Remote Insurance Verification job openings in Wisconsin as of June 2026, with employment types broken down into 40% Full Time, 47% Part Time, and 13% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $39,614 per year, or $19 per hour.
Appeals Claims Processor

Appeals Claims Processor

WPS

Madison, WI • On-site, Remote

$19.60/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 6 days ago

Job description

U.S. citizenship is required for this position due to Department of Defense restrictions.
The Appeals Claims Processor is responsible for reviewing and making determinations on MVH appealable denials, from receipt through resolution in accordance with MVH regulations, guidelines, quality standards, and contractual requirements. The role works closely with the Nursing team to support and discuss medical decision-making.
Additional Information
  • Start Date: June 30, 2026
  • Starting Hourly Rate: $19.60/hour and may vary based on county SCA rates.
  • Training Location/Schedule: On the job training - 1st Shift
  • Work Location: This is a 100% remote opportunity within any of our approved remote worker states.

We are open to remote work in the following approved states:
Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin
In this role you will:
  • Process Medical and Factual Appeals received by Providers, Beneficiaries and DHA.
  • Translate, research, and verify claims information to determine if all requirements have been met.
  • Accountable for CNOTE completion, Summary Log creation, calculation of amounts in dispute, and sending determination letters.
  • Review incoming Appeals mail to ensure it is being submitted to the appropriate team.
  • Initiate adjustments, reprocesses and serve as resource for other teams.
  • Access patient/sponsor files and update information accordingly.

Minimum Qualifications
  • U.S. citizenship is required for this position due to Department of Defense restrictions.
  • High School Diploma or GED or equivalent experience.
  • 1 or more years of experience in a claims processing role.
  • Knowledge of TRICARE Policy Manuals and eligibility guidelines, claims adjudication procedures and MVH system programs.
  • Ability to effectively utilize available resources to further research and verify claims.
  • Strong written communication skills.
  • Demonstrates the ability to work independently and take initiative.

Preferred Qualifications
  • 2 or more years of experience as a TRICARE Customer Service Representative or a Claims Processor.

Remote Work Requirements
  • Wired (ethernet cable) internet connection from your router to your computer
  • High speed cable or fiber internet
  • Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net)
  • Please review Remote Worker FAQs for additional information

Benefits
  • Remote work options available
  • Performance bonus and/or merit increase opportunities
  • 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
  • Competitive paid time off
  • Health insurance, dental insurance, and telehealth services start DAY 1
  • Employee Resource Groups
  • Professional and Leadership Development Programs
  • Review additional benefits: (https://www.wpshealthsolutions.com/careers/)

Who We Are
WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.
Culture Drives Our Success
WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.
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LinkedInFacebookWPS Health BlogThis position supports services under U.S. Department of Defense (DoD) Defense Health Agency (DHA) contract(s). As such, the role is subject to all applicable federal regulations, DoD contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. DoD contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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