Appeals Specialist – Remote (United States)

Help support Medicare Appeals operations while working 100 percent remotely.

About Broadway Ventures
Broadway Ventures delivers program management, technology solutions, and consulting support to government and private sector clients. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, we pride ourselves on integrity, innovation, and the ability to turn complex challenges into operational success. We support mission-driven work that strengthens systems, improves outcomes, and empowers organizations nationwide.

Schedule
• Full-time, Monday through Friday
• Remote work from home
• Standard 40-hour workweek

Responsibilities
• Perform non-medical reviews and process redetermination letters with high accuracy
• Ensure timely processing and compliance with established Medicare Appeals guidelines
• Prepare and analyze unit reports, including workload trends and processing issues
• Update departmental letters, templates, and internal documents
• Assist with documentation requests for legal inquiries and administrative needs

Requirements
• High School Diploma or equivalent required; Associate’s or Bachelor’s degree preferred
• Two or more years of experience in healthcare, insurance, or Medicare/Medicaid services
• Customer service experience preferred
• Medicare-specific experience helpful but not required (training provided)
• Proficiency with Microsoft Word, Excel, and Outlook
• Strong attention to detail, organization, and written communication
• Ability to work with confidential information and exercise sound judgment
• Accurate grammar, spelling, and documentation skills

Benefits
• 401(k) with employer match
• Medical, dental, and vision insurance
• Life insurance
• Paid Time Off (PTO)
• Paid holidays
• Fully remote work environment

Happy Hunting,
~Two Chicks…

APPLY HERE