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Remote Medical Claims Processor Jobs in Cadott, WI

BillionToOne

Prenatal Account Executive

Eau Claire, WI · Remote

$184K - $248K/yr

Managing the full lifecycle of the product sales process, including new business development and ... Ability to assess the needs of medical professionals and staff members with a focus on consultative ...

State of Wisconsin

Physician

Stanley, WI · On-site +1

$98.58 - $126.13/hr

... Care medical services to persons in our care. The Primary Care Physician diagnoses and treats ... This position is not eligible for remote work Shift: 1.0 FTE- days of the week will be determined ...

All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Cadott, WI

Remote Medical Claims Processor information

See Cadott, WI salary details

$13

$19

$25

How much do remote medical claims processor jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for remote medical claims processor in Cadott, WI is $19.25, according to ZipRecruiter salary data. Most workers in this role earn between $17.12 and $21.39 per hour, depending on experience, location, and employer.

What is the difference between Remote Medical Claims Processor vs Remote Medical Billing Specialist?

AspectRemote Medical Claims ProcessorRemote Medical Billing Specialist
CredentialsTypically requires medical coding or claims processing certificationsOften requires medical billing certifications and coding knowledge
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare providers or billing companies
Industry UsageInsurance companies, third-party administratorsHospitals, clinics, billing service providers
Job FocusProcessing and reviewing insurance claims for reimbursementPreparing and submitting bills, managing accounts receivable

While both roles work remotely within the healthcare industry, the Remote Medical Claims Processor primarily reviews and processes insurance claims, focusing on reimbursement. In contrast, the Remote Medical Billing Specialist handles billing procedures, including preparing and submitting invoices. Both roles require similar certifications and often overlap in work environment and employer types, but their core responsibilities differ in claim review versus billing management.

What Is the Job of a Remote Medical Claims Processor?

Remote medical claims processors handle billing paperwork for health care offices or insurance companies. Instead of working in the office, remote medical claims processors complete their job duties from home or another location outside of the office with internet connectivity. As a remote medical claims processor, your responsibilities include ensuring medical insurance claims have proper billing codes that match the services provided, clarifying patient concerns about benefits, and adding changes made to the claim by the doctors or insurer. You may also be required to follow up with the insurer to find out the status of claims and discuss any discrepancies.

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

To thrive as a Remote Medical Claims Processor, a solid understanding of medical terminology, insurance policies, and claims adjudication is essential, typically supported by a high school diploma or equivalent and relevant experience. Familiarity with claims management software, electronic health records (EHR) systems, and knowledge of HIPAA regulations are typically required. Attention to detail, strong organizational skills, and clear written communication help individuals excel in processing claims accurately and efficiently. These skills ensure timely and correct claims processing, reducing errors and supporting the financial health of both healthcare providers and patients.

How does a Remote Medical Claims Processor typically collaborate with healthcare providers and insurance companies while working from home?

As a Remote Medical Claims Processor, collaboration with healthcare providers and insurance companies primarily occurs through secure digital communication channels, such as email, specialized claims management software, and phone calls. You will regularly interact with provider offices to clarify patient information, verify coverage, or resolve discrepancies in submitted claims. While the role is independent, you often coordinate with team members and supervisors virtually to ensure claims are processed efficiently and accurately. Maintaining clear documentation and communication is essential for resolving issues and minimizing processing delays.

What does a Remote Medical Claims Processor do?

A Remote Medical Claims Processor reviews, evaluates, and processes insurance claims submitted by healthcare providers and patients. Working from a remote location, they verify the accuracy of claim information, ensure proper coding, and determine whether services are covered based on insurance policies. They also communicate with providers, patients, and insurance companies to resolve discrepancies or request additional information. This role helps ensure that claims are processed efficiently and accurately for timely reimbursement.
More about Remote Medical Claims Processor jobs
What cities near Cadott, WI are hiring for Remote Medical Claims Processor jobs? Cities near Cadott, WI with the most Remote Medical Claims Processor job openings:
Remote Medical Claims Processor jobs near you
Infographic showing various Remote Medical Claims Processor job openings in Cadott, WI as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $40,040 per year, or $19.2 per hour.
Crop Underwriting Product Specialist

Crop Underwriting Product Specialist

Great American Insurance Group

Eau Claire, WI • On-site, Remote

$70K - $115K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago

Great American Insurance Group rating

8.8

Company rating: 8.8 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

57th of 299 rated insurance

Job description

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

The Crop Division of Great American has been helping generations of farmers take control of their risks since 1915. The Divisionis also one of a select few private companies authorized by the United States Department of Agriculture Risk Management Agency (USDA RMA) to write MPCI policies. With six regional offices throughout the U.S., the teams provide tremendousexpertisein the specific needs of farmers and crops.

https://www.greatamericancrop.com/

Great American's Crop Division is seeking a Senior Underwriting Product Representative or Underwriting Product Specialist to join our team. Position level and compensation will be based on the selected candidate's experience, skills, and qualifications.

This positionisbasedin our Cincinnati, OH headquarters or one of our regional officeslocatedin Albany, GA; Peoria, IL; Eau Claire, WI; Lawrence, KS; Fargo, ND; or Fresno, CA.Great American's culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to beonsitefour days a week, with the flexibility to work one day remotely. Coreinofficedays are Tuesday-Thursday, with the fourth daydeterminedby business needs.

Essential Job Functions and Responsibilities

  • Develops,maintains, andconveysunderwritingsystemtraining materialsandjob aids to support consistentand efficientsystem processingforinternal staff.

  • Develops and delivers training programs for agency partners onGreatAgsystem enhancements, process updates, and new functionality, including specialized seasonal training sessions.

  • Learnsandutilizesapplicable reporting, analytics, and technology platforms, including Tableau and other third-party systems, to support underwriting operations, training initiatives, and process improvements.

  • Representsthe underwriting function in cross-functional meetings and projects, collaborating with Claims, Compliance, Information Technology, and other business partners to support operationalobjectivesand system enhancements.

  • Serves as a subject matter resource on underwritingprocessingsystems, workflows, and product-related processes, providing guidance and support to underwriters, agencies, and business partners.

  • Identifiesopportunities to improveunderwritingforms, andsystem functionalitybyrecommending and implementing solutions that enhance operational efficiency.

  • Trouble-shoots system issues and works with IT resources to fix and improve system applicationsand address programming needs based on RMA changes and other business needs.

  • Performs other duties as assigned.

Job Requirements

  • Bachelor's degree in Agriculture, Business, ora relatedfield, or equivalent experience.

  • Generally, aminimum of 5 years of crop insurance underwriting, product support, technical training, or agency-facing experience.

  • Strong knowledge of MPCI programs, RMA regulations, policy provisions, underwriting workflows, and related crop insurance processes.

  • Ability to interpret and communicate regulatory, procedural, and product changes to internal and external stakeholders.

  • Proficiencywith Excel, underwriting systems, and other business applications, along with strong written and verbal communication skills.

  • Senior-level, lead, orsubject matter expert experience supporting underwriting operations.

  • Preferred experiencein collaborating with IT partnersregardingsystem enhancements,leading andtestingof IT tickets. Andtroubleshooting system issues related to crop insurance system applications.

  • Familiarity with private crop insuranceproducts in addition to MPCI and established relationships within the crop insurance industry (preferred).

Business Unit:

Crop


Salary Range:

$70,000.00 -$115,000.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

*Excludes seasonal employees and interns.

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