Review charges submitted with errors for accurate claims submission by correcting errors from Claims Editing software. * Provide manual charge entry as needed. * Upload claims to practice management ...
Review charges submitted with errors for accurate claims submission by correcting errors from Claims Editing software. * Provide manual charge entry as needed. * Upload claims to practice management ...
Review charges submitted with errors for accurate claims submission by correcting errors from Claims Editing software. * Provide manual charge entry as needed. * Upload claims to practice management ...
Review charges submitted with errors for accurate claims submission by correcting errors from Claims Editing software. * Provide manual charge entry as needed. * Upload claims to practice management ...
Advisor Technical Lead - (C/Unix Batch Development/Healthcare Claims)
Austin, TX · On-site
$95K - $120K/yr
Experience with multiple claims bundling/editing software platforms is desired Preferred strengths * Excellent communication and stakeholder management * Strong problem-solving and root cause ...
Advisor Technical Lead - (C/Unix Batch Development/Healthcare Claims)
Austin, TX · On-site
$95K - $120K/yr
Experience with multiple claims bundling/editing software platforms is desired Preferred strengths * Excellent communication and stakeholder management * Strong problem-solving and root cause ...
Senior C/Unix Batch Developer (Healthcare Claims)
Dallas, TX · On-site
$75K - $95K/yr
Expertise with multiple claims bundling/editing software platforms is desired What you should expect in this role * Fully remote opportunity with the option to work anywhere within the United States
Senior C/Unix Batch Developer (Healthcare Claims)
Dallas, TX · On-site
$75K - $95K/yr
Expertise with multiple claims bundling/editing software platforms is desired What you should expect in this role * Fully remote opportunity with the option to work anywhere within the United States
Advisor Technical Lead - (C/Unix Batch Development/Healthcare Claims)
Houston, TX · On-site
$95K - $120K/yr
Experience with multiple claims bundling/editing software platforms is desired Preferred strengths * Excellent communication and stakeholder management * Strong problem-solving and root cause ...
Advisor Technical Lead - (C/Unix Batch Development/Healthcare Claims)
Houston, TX · On-site
$95K - $120K/yr
Experience with multiple claims bundling/editing software platforms is desired Preferred strengths * Excellent communication and stakeholder management * Strong problem-solving and root cause ...
Advisor Technical Lead - (C/Unix Batch Development/Healthcare Claims)
Dallas, TX · On-site
$95K - $120K/yr
Experience with multiple claims bundling/editing software platforms is desired Preferred strengths * Excellent communication and stakeholder management * Strong problem-solving and root cause ...
Advisor Technical Lead - (C/Unix Batch Development/Healthcare Claims)
Dallas, TX · On-site
$95K - $120K/yr
Experience with multiple claims bundling/editing software platforms is desired Preferred strengths * Excellent communication and stakeholder management * Strong problem-solving and root cause ...
Senior C/Unix Batch Developer (Healthcare Claims)
Houston, TX · On-site
$75K - $95K/yr
Expertise with multiple claims bundling/editing software platforms is desired What you should expect in this role * Fully remote opportunity with the option to work anywhere within the United States
Senior C/Unix Batch Developer (Healthcare Claims)
Houston, TX · On-site
$75K - $95K/yr
Expertise with multiple claims bundling/editing software platforms is desired What you should expect in this role * Fully remote opportunity with the option to work anywhere within the United States
Senior C/Unix Batch Developer (Healthcare Claims)
Austin, TX · On-site
$75K - $95K/yr
Expertise with multiple claims bundling/editing software platforms is desired What you should expect in this role * Fully remote opportunity with the option to work anywhere within the United States
Senior C/Unix Batch Developer (Healthcare Claims)
Austin, TX · On-site
$75K - $95K/yr
Expertise with multiple claims bundling/editing software platforms is desired What you should expect in this role * Fully remote opportunity with the option to work anywhere within the United States
Manager II Technology
Grand Prairie, TX · On-site
$127K - $191K/yr
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Manager II Technology
Grand Prairie, TX · On-site
$127K - $191K/yr
Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...
Compass Case Specialist
Austin, TX · On-site
... software and/or billing databases. * Preferred knowledge of healthcare claims processing, billing ... Drafting and editing correspondence * High degree of organization * Detail oriented * Excellent ...
Compass Case Specialist
Austin, TX · On-site
... software and/or billing databases. * Preferred knowledge of healthcare claims processing, billing ... Drafting and editing correspondence * High degree of organization * Detail oriented * Excellent ...
HIM Coding Editor Specialist I
Dallas, TX · Remote
Must be able to demonstrate knowledge of computer software applications including MS Office ... claims from billing, by reviewing claims information, medical records and other applicable ...
HIM Coding Editor Specialist I
Dallas, TX · Remote
Must be able to demonstrate knowledge of computer software applications including MS Office ... claims from billing, by reviewing claims information, medical records and other applicable ...
Develops familiarity with marine claims handling and accepts a limited caseload as assigned ... Routinely produces clear, concise, and grammatically correct reports which require minimal editing ...
Develops familiarity with marine claims handling and accepts a limited caseload as assigned ... Routinely produces clear, concise, and grammatically correct reports which require minimal editing ...
Marine Surveyor - Houston, TX
Houston, TX · On-site +1
Develops familiarity with marine claims handling and accepts a limited caseload as assigned ... Routinely produces clear, concise, and grammatically correct reports which require minimal editing ...
Marine Surveyor - Houston, TX
Houston, TX · On-site +1
Develops familiarity with marine claims handling and accepts a limited caseload as assigned ... Routinely produces clear, concise, and grammatically correct reports which require minimal editing ...
Risk Management Specialist
Sugar Land, TX · On-site
Responsible for reporting possible loss claims or legal claims. * Must be able to review, research ... To monitor the Verifin software entries and respond appropriately. * To maintain a dependable ...
Risk Management Specialist
Sugar Land, TX · On-site
Responsible for reporting possible loss claims or legal claims. * Must be able to review, research ... To monitor the Verifin software entries and respond appropriately. * To maintain a dependable ...
... data analytics, claims/dispute analysis and management, and litigation support; along with ... Demonstrate creativity and efficient use of relevant software tools, analytical methods and ...
... data analytics, claims/dispute analysis and management, and litigation support; along with ... Demonstrate creativity and efficient use of relevant software tools, analytical methods and ...
Admin CSR Assistant
Houston, TX · On-site
$25/hr
... claims within 7 days for both active and closed out communities. In addition, the Customer Service ... Typing, formatting, and editing reports, documents, and presentations. * Entering data, maintaining ...
Admin CSR Assistant
Houston, TX · On-site
$25/hr
... claims within 7 days for both active and closed out communities. In addition, the Customer Service ... Typing, formatting, and editing reports, documents, and presentations. * Entering data, maintaining ...
JAVA AWS SOLUTION ARCHITECT
Plano, TX · On-site
... build software solutions that makes a direct impact to positive claims customer experience. You ... Proficient in authoring, editing and presenting technical documents. Excellent written and oral ...
JAVA AWS SOLUTION ARCHITECT
Plano, TX · On-site
... build software solutions that makes a direct impact to positive claims customer experience. You ... Proficient in authoring, editing and presenting technical documents. Excellent written and oral ...
Claims Editing Software information
What is the difference between Claims Editing Software vs Claims Adjuster?
| Feature | Claims Editing Software | Claims Adjuster |
|---|---|---|
| Primary Role | Software tool for reviewing and correcting insurance claims data | Human professional evaluating and settling insurance claims |
| Required Skills | Technical knowledge of insurance policies, data analysis | Communication, negotiation, assessment skills |
| Work Environment | Office-based, computer-focused | Field and office-based, client interaction |
| Certifications | None typically required, software proficiency preferred | Adjuster licenses, certifications often required |
Claims Editing Software is a digital tool used to review and correct insurance claims data, streamlining the claims process. In contrast, a Claims Adjuster is a human professional who evaluates claims, negotiates settlements, and interacts directly with clients. While Claims Editing Software enhances efficiency, Claims Adjusters provide the critical judgment and personal assessment needed in claims processing.

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 26 days ago
Job description
- 4-day workweek: Four 10-hour shifts with either Monday or Friday off
- Traditional schedule: Monday-Thursday, 8:00 AM-5:00 PM and Friday, 8:00 AM-12:00 PM
- Early schedule option: 7:00 AM-4:00 PM
Austin, TX 78731
- Review and analyze medical records to ensure accurate coding and billing guidelines are followed.
- Assign appropriate ICD-10, and other relevant codes to medical procedures based on correct coding edits.
- Review charges submitted with errors for accurate claims submission by correcting errors from Claims Editing software.Â
- Provide manual charge entry as needed.
- Upload claims to practice management system and/or clearinghouse.
- Maintain confidentiality of patient information and adhere to HIPAA regulations.
- Collaborate with healthcare providers and staff members to ensure accurate documentation and coding guidelines have been met.
- Discuss coding guidelines with providers and provide training as needed.
- Report emerging trends to management which need to be escalated.Â
- Follow policies and procedures to contribute to the efficiency of the business.
- Cover for and assist with other functions in the department as assigned.
- Strong analytical and problem-solving skills with an attention to detail.
- Excellent mathematical skills, computer skills, and Microsoft applications (including Excel)
- Excellent written, verbal, interpersonal communication skills.
- Drive to take initiative and be a self-starter.
- Ability to prioritize tasks and to delegate when appropriate.
- Excellent time management skills are essential along with the ability to meet deadlines.
- Able to establish and maintain effective working relationships with the insurance carriers, patients, and employees.
- Must possess a high degree of professionalism and be able to work in a high-pressure environment with multiple departments.
- Minimum of 40 words per minute typing speed
Required Education and Experience
- High School Diploma or higher
- Certified Professional Coders License
- Minimum of 1+ year in Medical Billing and Coding (2+ years preferred)
- Knowledge of ICD-10 and HCPCS Codes
- Continual Education of Codes and Payer Guidelines
- High School Diploma or higher
- Medical, Dental and Vision Insurance
- Generous Paid Time Off and Paid Holidays
- 401(k) + Generous Employer Match
- Free Allergy Testing and Discounted Treatments
- Gym Membership Discounts
- Life Insurance
- Employee Reward Program
About Aspire Allergy & Sinus
Sourced by ZipRecruiter
Industry
Outpatient health care
Company size
201 - 500 Employees
Headquarters location
Austin, TX, US
Year founded
2012