Crossing Hurdles · 11 hours ago
Insurance document reviewer | Remote
United States
Contract
Remote
Senior Level
$80/hr - $105/hrCrossing Hurdles is seeking an Insurance Document Reviewer to validate and review insurance-related documentation. The role involves ensuring technical accuracy and policy alignment while providing recommendations to improve dataset quality for AI training.
Staffing & Recruiting
Responsibilities
Review and validate insurance-related documentation for technical accuracy and policy alignment
Evaluate content covering credentialing workflows, provider network management, and benefits administration
Assess accuracy of materials related to Medicaid coordination and secondary coverage processes
Ensure clarity and correctness in explanations of reimbursement structures for lifelong conditions
Provide expert, structured recommendations to improve dataset quality used for AI training and evaluation
Work independently to complete reviews within defined timelines
Qualification
Required
Strong experience as an insurance specialist, benefits manager, senior claims analyst, or in a closely related role
Deep understanding of credentialing processes and denial prevention strategies
Expertise in Medicaid coordination, reimbursement logic, and secondary insurance coverage
Proven ability to interpret and assess complex health insurance policies and documentation
Strong analytical, documentation, and attention-to-detail skills
Ability to work independently in a remote, asynchronous environment and meet short deadlines
Company
Crossing Hurdles
At Crossing Hurdles, we specialise in customised recruitment and staffing solutions designed to drive success for businesses and professionals.
Founded in 2022
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase