Insurance document reviewer jobs in United States
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Great Value Hiring ยท 3 days ago

Insurance document reviewer

Great Value Hiring is seeking insurance experts to review specialized content related to health insurance. The role involves validating documentation, evaluating materials related to credentialing and provider network management, and providing recommendations to improve dataset quality.

Staffing & Recruiting

Responsibilities

Review and validate insurance-related documentation for correctness and policy alignment
Evaluate materials related to credentialing, provider network management, and benefits workflows
Assess accuracy of content involving Medicaid coordination and secondary coverage processes
Ensure clarity in explanations of reimbursement structures for lifelong conditions
Provide expert recommendations to improve dataset quality

Qualification

Medicaid coordinationReimbursement logicCredentialing workflowsHealth insurance policiesAnalytical skillsDocumentation skillsIndependent work

Required

8+ years of experience as an insurance specialist, benefits manager, or senior claims analyst
Strong understanding of credentialing workflows and denial prevention strategies
Expertise in Medicaid coordination, reimbursement logic, and secondary insurance
Experience interpreting complex health insurance policies
Excellent analytical and documentation skills
Ability to work independently on short timelines

Company

Great Value Hiring

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We started "Great Value Hiring" with a simple idea: to make meaningful connections.

Funding

Current Stage
Early Stage
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