Crossing Hurdles ยท 1 day ago
Insurance document reviewer | Remote
Crossing Hurdles is seeking an Insurance Document Reviewer to validate insurance-related documentation for accuracy and policy alignment. The role involves evaluating credentialing processes and providing recommendations to improve AI training datasets.
Staffing & Recruiting
Responsibilities
Review and validate insurance-related documentation for technical accuracy and policy alignment
Evaluate materials covering credentialing processes, provider network management, and benefits workflows
Assess accuracy of content involving Medicaid coordination and secondary insurance coverage
Ensure clarity and correctness in explanations of reimbursement structures for lifelong conditions
Provide expert recommendations to improve consistency and quality of AI training datasets
Qualification
Required
Strong professional background in insurance, benefits administration, or claims analysis
Deep understanding of credentialing workflows, denial prevention, and reimbursement logic
Expertise in Medicaid coordination and secondary insurance processes
Proven ability to interpret and analyze complex health insurance policies
Excellent analytical and documentation skills with strong attention to detail
Ability to work independently and meet deadlines in a remote, asynchronous environment
Company
Crossing Hurdles
At Crossing Hurdles, we specialise in customised recruitment and staffing solutions designed to drive success for businesses and professionals.
Funding
Current Stage
Early StageCompany data provided by crunchbase