Requires knowledge of ClaimsXten or similar claims editing software * Strong analytical and problem-solving skills with ability to conduct independent research and synthesize findings * Advanced ...
Requires knowledge of ClaimsXten or similar claims editing software * Strong analytical and problem-solving skills with ability to conduct independent research and synthesize findings * Advanced ...
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 ...
UB04 or 1500) through the claims editing software. Understands the claim editing process and resolving the edits based on appropriate department procedures regarding claim submission. * Evaluate and ...
UB04 or 1500) through the claims editing software. Understands the claim editing process and resolving the edits based on appropriate department procedures regarding claim submission. * Evaluate and ...
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 ...
third party biller
Weymouth, MA · On-site
$21.05 - $29.45/hr
Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for ...
third party biller
Weymouth, MA · On-site
$21.05 - $29.45/hr
Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for ...
third party biller
Weymouth, MA · On-site
$21.05 - $29.45/hr
Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for ...
third party biller
Weymouth, MA · On-site
$21.05 - $29.45/hr
Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for ...
third party biller
Weymouth, MA · On-site
$21.05 - $29.45/hr
Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for ...
third party biller
Weymouth, MA · On-site
$21.05 - $29.45/hr
Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for ...
third party biller
Weymouth, MA · On-site
$21.05 - $29.45/hr
Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for ...
third party biller
Weymouth, MA · On-site
$21.05 - $29.45/hr
Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for ...
third party biller
Weymouth, MA · On-site
$21.25 - $27.25/hr
Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for ...
third party biller
Weymouth, MA · On-site
$21.25 - $27.25/hr
Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for ...
... claims editing logic across core platforms. * Defect Management: Lead defect triage, root cause ... Experience: 5+ years of software QA/testing experience, with at least 3 years specifically ...
... claims editing logic across core platforms. * Defect Management: Lead defect triage, root cause ... Experience: 5+ years of software QA/testing experience, with at least 3 years specifically ...
Senior Test / QA Analyst
Huntington Beach, CA · On-site
... claims editing logic across core platforms. * Defect Management: Lead defect triage, root cause ... Experience: 5+ years of software QA/testing experience, with at least 3 years specifically ...
Quick apply
Senior Test / QA Analyst
Huntington Beach, CA · On-site
... claims editing logic across core platforms. * Defect Management: Lead defect triage, root cause ... Experience: 5+ years of software QA/testing experience, with at least 3 years specifically ...
UB04 or 1500) through the claims editing software. Understands the claim editing process and resolving the edits based on appropriate department procedures regarding claim submission. * Track and ...
Quick apply
UB04 or 1500) through the claims editing software. Understands the claim editing process and resolving the edits based on appropriate department procedures regarding claim submission. * Track and ...
Requires knowledge of ClaimsXten or similar claims editing software * Strong analytical and problem-solving skills with ability to conduct independent research and synthesize findings * Advanced ...
Requires knowledge of ClaimsXten or similar claims editing software * Strong analytical and problem-solving skills with ability to conduct independent research and synthesize findings * Advanced ...
Business Analyst, Consultant
Woodland Hills, CA · On-site
$102K - $154K/yr
Requires knowledge of ClaimsXten or similar claims editing software * Strong analytical and problem-solving skills with ability to conduct independent research and synthesize findings * Advanced ...
Business Analyst, Consultant
Woodland Hills, CA · On-site
$102K - $154K/yr
Requires knowledge of ClaimsXten or similar claims editing software * Strong analytical and problem-solving skills with ability to conduct independent research and synthesize findings * Advanced ...
Remote Video Specialist
Buford, GA · Remote
$15 - $16/hr
... claims and program management divisions, and investigative operations. For over 41 years, our ... Skills and knowledge of video editing software, techniques, and tools * Stay current on industry ...
Remote Video Specialist
Buford, GA · Remote
$15 - $16/hr
... claims and program management divisions, and investigative operations. For over 41 years, our ... Skills and knowledge of video editing software, techniques, and tools * Stay current on industry ...
Remote Video Specialist
Buford, GA · On-site +1
$15 - $16/hr
... claims and program management divisions, and investigative operations. For over 41 years, our ... Skills and knowledge of video editing software, techniques, and tools * Stay current on industry ...
Remote Video Specialist
Buford, GA · On-site +1
$15 - $16/hr
... claims and program management divisions, and investigative operations. For over 41 years, our ... Skills and knowledge of video editing software, techniques, and tools * Stay current on industry ...
Remote Video Specialist
Buford, GA · Remote
... claims and program management divisions, and investigative operations. For over 41 years, our ... Skills and knowledge of video editing software, techniques, and tools * Stay current on industry ...
Quick apply
Remote Video Specialist
Buford, GA · Remote
... claims and program management divisions, and investigative operations. For over 41 years, our ... Skills and knowledge of video editing software, techniques, and tools * Stay current on industry ...
Claims Repricer
Wichita, KS · On-site
$16 - $20/hr
Proficiency with Microsoft Excel and claims processing software. * Excellent organizational ... Knowledge of claim editing guidelines, including NCCI edits and modifier usage. Benefits * Health ...
New
Quick apply
Claims Repricer
Wichita, KS · On-site
$16 - $20/hr
Proficiency with Microsoft Excel and claims processing software. * Excellent organizational ... Knowledge of claim editing guidelines, including NCCI edits and modifier usage. Benefits * Health ...
New
Integrate real-world claims scenarios, case studies, and interactive activities that reinforce ... video/audio editing software; and Adobe Suite (Acrobat X Pro, Photoshop, Illustrator), and ...
Integrate real-world claims scenarios, case studies, and interactive activities that reinforce ... video/audio editing software; and Adobe Suite (Acrobat X Pro, Photoshop, Illustrator), and ...
Media Producer
Jacksonville, FL · On-site
Proficiency with industry-standard editing software for short-form documentary content * Strong ... legal claims against church bodies by staff members who perform religious functions. All church ...
Media Producer
Jacksonville, FL · On-site
Proficiency with industry-standard editing software for short-form documentary content * Strong ... legal claims against church bodies by staff members who perform religious functions. All church ...
Claims Editing Software information
See salary details
$13.94 - $15.25
4% of jobs
$15.25 - $16.56
6% of jobs
$16.56 - $17.88
14% of jobs
$17.97 is the 25th percentile. Wages below this are outliers.
$17.88 - $19.19
12% of jobs
The median wage is $20.07 / hr.
$19.19 - $20.50
21% of jobs
$20.50 - $21.81
14% of jobs
$22.32 is the 75th percentile. Wages above this are outliers.
$21.81 - $23.12
12% of jobs
$23.12 - $24.43
5% of jobs
$24.43 - $25.74
4% of jobs
$25.74 - $27.05
4% of jobs
$27.05 - $28.37
4% of jobs
$13
$21
$28
How much do claims editing software jobs pay per hour?
How much do claims processors make in the US?
What kind of jobs in media bring in $150,000 a year?
What is the highest paying editing job?
Is there a high demand for medical billers and coders?
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.

Other
Posted 29 days ago
Job description
Your Role
The Clinical Coding team seeks an experienced Business Analyst, Consultant with strong analytical, business, and technical expertise to support complex, cross functional initiatives. This role is responsible for analyzing data, defining business requirements, and driving operational improvements related to payment policy, medical policy, and coding related processes, while also contributing to the development of annual operating plans, budgets, forecasts, and cost/benefit analyses for new initiatives. The Business Analyst, Consultant will report to the Sr. Manager, Clinical Coding. In this role, you will play a critical role in ensuring payment and medical policy logic is accurately translated into system configuration, directly impacting claims accuracy, regulatory compliance, and cost of healthcare outcomes, while influencing cross-functional decision-making through expert analysis and identification of improvement opportunities.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Knowledge and Experience
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Requires a bachelor's degree or equivalent experience
Requires at least 7 years of prior relevant experience
Requires deep knowledge of job area typically obtained through advanced education combined with experience.
Requires strong knowledge of business analysis, payment policy, California state mandates and claims operations
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Requires at least 3 years of Payment policies and claims processing or equivalent experience
Familiarity with provider manuals, CMS/NCCI guidelines, and payment integrity operations
Requires knowledge of ClaimsXten or similar claims editing software
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Strong analytical and problem-solving skills with ability to conduct independent research and synthesize findings
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Advanced knowledge and ability to perform process mapping, root-cause analysis, gap analysis and requirements gathering
Requires practical knowledge of project management
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Ability to deal with complexity, compressed timelines and shifting priorities
Proficient with MS Office products, including Word, PowerPoint and Excel. Visio expertise a plus
Strong interpersonal and verbal and written communication skills.
Agile experience preferred
Hybrid
This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.