Insurance document reviewer | Remote

Crossing Hurdles; United States; On-site; USD 110,208 - 144,648; Part time

Job summary

A healthcare solutions company is seeking a Remote Insurance Document Reviewer to validate insurance documentation for technical accuracy and policy alignment. The ideal candidate has significant experience in insurance roles with expertise in Medicaid coordination and reimbursement logic. This position offers flexible hours of approximately 10 hours per week, making it suitable for independent professionals adept at managing timelines effectively.

Qualifications

• Strong experience as an insurance specialist, benefits manager, or senior claims analyst.
• Deep understanding of credentialing processes and denial prevention strategies.
• Proven ability to interpret complex health insurance policies.

Responsibilities

• Review and validate insurance documentation for accuracy and policy alignment.
• Evaluate content covering credentialing workflows and benefits administration.
• Provide structured recommendations to improve dataset quality for AI.

Skills

Experience as an insurance specialist

Understanding of credentialing processes

Expertise in Medicaid coordination

Strong analytical skills

Attention to detail

Job description

Base pay range: $80.00/hr – $105.00/hr

Position: Insurance Document Reviewer

Type: Hourly contract

Compensation: $80–$105/hour

Location: Remote

Commitment: ~10 hours/week

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.

Requirements

• 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.

Application Process (Takes 20 Min)

• Upload resume
• 15 min interview