About Tennr:
When you go to your doctor and need to be referred to a specialist (e.g., for sleep apnea), your doctor sends a fax (yes, in 2024, 90% of provider-provider communication is a 1980s fax). These are often converted into 20+ page PDFs, with handwritten (doctor’s handwriting!) notes, in thousands of different formats. The problem is so complex that a person has to read it, type it up, and manually enter your information. Tennr built RaeLLM™ (7B—trained on 3M+ documents) to read these docs, talk to your doc to ensure nothing is missed, and text you to help schedule your appointment so you can get better, faster.Tennr is a NYC-based tech company that launched out of Y-Combinator and is backed by Lightspeed Venture Partners, Andreessen Horowitz, Foundation Capital, The New Normal Fund, and other top investors.
About the Role
If you’ve worked in front-end intake, quality control, operations compliance, or audit review in the DME space, this is an opportunity to apply that experience in a new way. We’re growing our documentation and criteria review team to help ensure our platform accurately applies qualification logic based on Medicare, Medicaid, and commercial payer policies.This is a detail-oriented, hands-on role focused on reviewing clinical documentation, assessing model-generated qualification outcomes, and identifying when decisions do or do not align with real-world payer standards.We are hiring for both full-time and part-time contract positions.
What You’ll Do
- Review the model’s outputs to improve criteria determinations
- Flag incorrect determinations, including false positives, false negatives, and unclear logic, with structured feedback
- Compare documentation against Medicare, Medicaid, and commercial payer coverage policies
- Analyze source materials (insurance policies, LCDs, etc.) to help validate qualification logic
- Work closely with internal teams to refine prompting logic and improve documentation review standards
- Maintain clear documentation of findings and contribute to process improvements
Who You Are
- You have hands-on DME experience in roles such as intake, documentation review, audits, or quality/compliance
- You are confident identifying when documentation meets or fails to meet payer requirements
- You are comfortable reviewing insurance coverage policies and applying them to real-world cases
- You are highly organized, detail-focused, and confident making policy-based decisions
- You work well independently and value open communication within a remote team setting
Preferred Experience
- 4+ years working in DME, ideally in documentation review, intake, audits, or compliance roles
- Familiarity with Medicare, Medicaid, and commercial payer guidelines for DME
- Understanding of HCPCS codes and common DME categories such as respiratory, mobility, and maternal health
- Experience with audits or appeals is a strong plus
- Familiarity with decision logic or rules-based platforms is helpful but not required
If you are looking to use your DME knowledge in a meaningful way and want to help shape how technology supports accurate and efficient qualifications, we would love to connect.Compensation Range: $55K - $57K
