ZipRecruiter

Log In

2

Work From Home Medical Claims Processing Jobs in Wisconsin

Auxiant

Claims Examiner

Madison, WI · On-site +1

... processing medical claims and correspondence and handling customer service calls from members ... Work Customer Service Tickets. Nonessential Functions: * Other duties as assigned or appropriate ...

Sanford Health

Manager, Claims

Marshfield, WI · Remote

No Department Details This position allows some work from home options as well as a flexible ... The process includes the review and/or testing of claims, benefits and fee schedules to ensure ...

The Semler Agency

Work From Home Sales

Appleton, WI · On-site +1

This role is designed for individuals looking to learn a new skill and work from home with support ... Follow a simple, structured process What You'll Get: * Guided training program * Support from ...

The Semler Agency

Work From Home Sales

Madison, WI · On-site +1

This role is designed for individuals looking to learn a new skill and work from home with support ... Follow a simple, structured process What You'll Get: * Guided training program * Support from ...

next page

Showing results 1-20

All JobsMedical Claims Processing JobsWork From Home Medical Claims Processing JobsWork From Home Medical Claims Processing Jobs in Wisconsin

Work From Home Medical Claims Processing information

See Wisconsin salary details

$14

$19

$25

How much do work from home medical claims processing jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for work from home medical claims processing in Wisconsin is $19.65, according to ZipRecruiter salary data. Most workers in this role earn between $17.45 and $21.83 per hour, depending on experience, location, and employer.

What is a work from home medical claims processing?

A Work From Home Medical Claims Processing job involves reviewing, verifying, and processing medical insurance claims from a remote location. Responsibilities typically include checking claims for accuracy, ensuring compliance with insurance policies, and submitting claims for reimbursement. This role requires knowledge of medical coding, billing procedures, and insurance guidelines. Strong attention to detail and proficiency with billing software are essential for success in this position. Many employers prefer candidates with prior experience or relevant certifications in medical billing and coding.

What are the key skills and qualifications needed to thrive in work from home medical claims processing?

To excel in Work From Home Medical Claims Processing, strong attention to detail, knowledge of medical terminology and billing codes, and prior experience in claims or healthcare administration are typically required. Familiarity with claims processing software (such as Facets, Epic, or Medisoft) and knowledge of HIPAA compliance are highly valuable, and certification such as Certified Professional Coder (CPC) can be an advantage. Excellent organizational skills, time management, and effective written communication help professionals handle caseloads efficiently and collaborate remotely. These skills and qualities are vital for ensuring accuracy, compliance, and timely processing of claims in a fast-paced, virtual environment.

What are some common challenges faced in work from home medical claims processing, and how can they be managed?

One common challenge in a remote medical claims processing position is maintaining clear communication and collaboration with colleagues and supervisors, since the team operates virtually. Staying organized and self-motivated is essential, as you'll need to manage a steady volume of claims independently and meet strict deadlines. To overcome these challenges, many employers provide regular virtual check-ins, ongoing training, and access to online support tools, making it easier to ask questions and share updates. By proactively reaching out when clarification is needed and effectively utilizing provided resources, remote claims processors can remain connected and productive.

What are popular job titles related to Work From Home Medical Claims Processing jobs in Wisconsin?

For Work From Home Medical Claims Processing jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Work From Home Medical Claims Processing jobs in Wisconsin look for?

The top searched job categories for Work From Home Medical Claims Processing jobs in Wisconsin are:

What cities in Wisconsin are hiring for Work From Home Medical Claims Processing jobs?

Cities in Wisconsin with the most Work From Home Medical Claims Processing job openings:

Work From Home Medical Claims Processing jobs near you
Infographic showing various Work From Home Medical Claims Processing job openings in Wisconsin as of August 2026, with employment types broken down into 80% Full Time, 5% Part Time, and 15% Contract. Highlights an 100% Remote job distribution, with an average salary of $40,872 per year, or $19.6 per hour.

Claims Examiner

Auxiant

Madison, WI • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

Job Type
Full-time
Description
https://www.auxiant.com/
Auxiant's Mission Statement and Core Values
Mission:
An Independent TPA investing in People and Innovation to deliver expert-driven experiences with REAL Results.
Core Values: Independent Solutions. REAL Results
Respect
Empowerment
Agility
Leadership
Be part of a growing and prospering company as a Claims Examiner. Auxiant is a third party administrator of self-funded employee benefit plans with offices in Cedar Rapids, IA, Madison and Milwaukee, WI. Auxiant is a fast-growing,progressive company offering an excellent wage and benefit package.
Job Summary: Responsible for processing medical claims and correspondence and handling customer service calls from members, providers, and clients.
Essential Functions:
  • Process claims in a timely manner with acceptable accuracy
  • Answer inbound phone calls from members and providers.
  • Handle correspondence from members and providers in a timely manner.
  • Analyze self-funded health plans and use plan language to correspond to necessary inquiries, both verbally and written.
  • Interpret plan design and language to analyze claim edits.
  • Point of contact for clients and members.
  • Work Customer Service Tickets.

Nonessential Functions:
  • Other duties as assigned or appropriate

Education/Qualifications:
  • Familiarity with ICD-10 and CPT coding
  • Understanding of medical claims processing guidelines
  • Proficient PC skills including email, record keeping, routine database activity, word processing, spreadsheet and 10-key
  • QicLink experience
  • Medical Terminology
  • High school diploma and 1-2 years related experience; or equivalent combination of education and experience

*Full benefits including: Medical, Dental, Vision, Flexible Spending, Gym Membership Reimbursement, Life Insurance, LTD, STD, 401K, 3 weeks vacation, 9 paid holidays, casual dress code and more
Job Type: Full-time
Schedule:
  • 8 hour shift
  • Day shift
  • Monday to Friday

Apply