by Terrance Ellis | Nov 13, 2025 | Uncategorized
Support Medicare provider enrollment from home while keeping critical data accurate, compliant, and audit-ready.
About Broadway Ventures
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB) that delivers program management, technology, and consulting solutions to government and private sector clients. Built on integrity, collaboration, and innovation, we help agencies run smoother, stay compliant, and better serve their communities.
As a Provider Enrollment Analyst, you’ll play a key role behind the scenes, making sure medical providers are properly enrolled, verified, and ready to serve Medicare members.
Schedule
- Full-time | 40 hours per week
- Monday–Friday, 8:00 AM – 5:00 PM EST
- Location: Remote (U.S.)
- If you live within 50 miles of Columbia, SC, you’ll work onsite 5 days/week at:
17 Technology Circle, Columbia, SC 29203
Responsibilities
- Review and validate provider enrollment applications (initial, re-enrollment, reactivation, updates).
- Process and manage CMS 855 applications using the PECOS Medicare enrollment system.
- Verify provider data via internal databases and external agencies.
- Set up and test EFT (Electronic Funds Transfer) accounts as needed.
- Enter, update, and maintain provider records in enrollment systems and directories.
- Communicate with providers, agencies, and internal teams to resolve discrepancies and missing information.
- Provide application materials and process guidance to potential enrollees.
- Assist with provider education, process improvements, and system testing.
- Support special projects and operational enhancements as assigned.
Requirements
- Experience
- At least 1 year of experience processing CMS 855 applications and/or managing Medicare provider enrollment using PECOS.
- Prior Medicare provider enrollment experience is required to be considered.
- Education
- High school diploma or equivalent required.
- Associate’s or Bachelor’s degree preferred.
- Skills & Competencies
- Proficiency with Microsoft Office (Word, Excel, basic databases).
- Strong data entry accuracy and attention to detail.
- Solid judgment and organizational skills.
- Clear written and verbal communication, with strong grammar and spelling.
- Basic business math and comfort working with forms and structured data.
- Analytical and critical thinking skills for problem-solving.
- Ability to handle confidential information with discretion.
- Other Requirements
- Must be able to work 8:00 AM–5:00 PM EST, Monday–Friday.
- Successfully complete an eQIP background investigation and credit check.
- Authorized to work in the United States (no current/future sponsorship).
Benefits
- 401(k) with company match
- Medical, dental, and vision insurance
- Disability and life insurance
- Paid Time Off (PTO)
- Paid holidays
Build a stable, full-time remote career in healthcare operations while sharpening your Medicare and provider enrollment expertise.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 13, 2025 | Uncategorized
Use your RN experience to review complex medical claims from home while supporting a high-impact federal program.
About Broadway Ventures
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB) that specializes in program management, technology solutions, and strategic consulting. We partner with government and private sector clients to improve operations, strengthen compliance, and drive sustainable growth.
In this Medical Claims Reviewer role, you’ll support a subcontract with Palmetto GBA, conducting clinical reviews on a wide range of claims. Your expertise will help ensure accurate payment decisions and protect program integrity for the World Trade Center Health Program and related contracts.
Schedule
- Full-time, 40 hours per week
- Monday–Friday, 8:00 AM – 4:30 PM EST
- Remote role with:
- Required access to high-speed, non-satellite internet
- Private, lockable home office space
- Must be able to travel to the Augusta, GA office approximately 4 times per year
- Preferred: candidates living in South Carolina or Georgia
- Strong preference for candidates who live within a designated HUBZone (as defined by SBA)
Responsibilities
- Medical Claims Review
- Conduct pre-pay and post-pay medical claim reviews for services such as radiology, ambulance, physical therapy, and surgical procedures.
- Review medically complex services, prior authorizations, appeals, potential fraud/abuse cases, and coding accuracy.
- Clinical Determinations
- Apply established criteria, protocol sets, and clinical guidelines to determine medical necessity, reasonableness, and coverage.
- Make reasonable charge payment determinations based on clinical/medical documentation.
- Documentation & Rationale
- Clearly document medical rationale to support approvals, denials, or modifications of services and supplies.
- Maintain accurate, compliant records in alignment with contractor and regulatory requirements.
- Education & Support
- Educate internal and external staff on medical review processes, coverage determinations, medical terminology, and coding procedures.
- Provide guidance and input to LPN team members, supporting their development and performance.
- Quality & Collaboration
- Participate in quality control activities to support team and corporate objectives.
- Assist with special projects and specialty assignments as directed by management.
- Contribute to a culture of continuous improvement in utilization review and claims integrity.
Requirements
- Licensure & Education
- Active, unrestricted RN license in the United States and in the state of hire.
- Active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC).
- Bachelor’s degree in Nursing (BSN) from an accredited School of Nursing (required).
- Master’s in Nursing or related field preferred.
- Experience
- Minimum 5 years of clinical RN experience (e.g., medical-surgical, rehabilitation, home health).
- 2–3+ years of experience in utilization review, medical review, quality assurance, or home health.
- Strong clinical foundation with working knowledge of managed care and various healthcare delivery systems.
- Skills & Competencies
- Ability to apply criteria/protocol sets and clinical guidelines for coverage determinations.
- Strong analytical and critical thinking skills with sound clinical judgment.
- Excellent verbal and written communication; ability to educate, persuade, and influence.
- Proven ability to work independently, prioritize effectively, and manage a steady review volume.
- High level of discretion handling confidential and sensitive information.
- Technical Requirements
- Proficiency with Microsoft Office (Word, Excel, Outlook).
- Comfortable using multiple screens and applications simultaneously.
- Reliable high-speed internet with the ability to connect via ethernet cable for secure and stable access.
- Location & Work Authorization
- Remote within a three-hour driving radius of Augusta, GA (30909).
- Strong preference for candidates living year-round in a HUBZone.
- Authorized to work in the United States (no current or future visa sponsorship for this role).
Benefits
- 401(k) with employer matching
- Health, dental, and vision insurance
- Life and disability insurance
- Flexible Spending Account (FSA)
- Paid time off (PTO) and paid holidays
- Fully remote work with periodic, employer-directed travel to Augusta, GA
Step into a high-impact, remote RN role where your clinical judgment directly shapes fair, accurate medical claim outcomes.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 13, 2025 | Uncategorized
Support the World Trade Center Health Program through accurate, detail-driven claims processing.
About Broadway Ventures
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB) specializing in program management, advanced technology solutions, and innovative consulting. We partner with government and private sector clients to improve operations, strengthen infrastructure, and deliver long-term, sustainable success. Our team is built on integrity, collaboration, and a commitment to excellence.
In this role, you’ll support the World Trade Center Health Program by applying your expertise in medical claims processing to ensure accuracy, compliance, and timely resolution. Your work directly contributes to the health and wellbeing of individuals impacted by 9/11.
Schedule
- Fully remote
- Monday through Friday
- 8:30 AM – 5:00 PM EST
- Must be available to work 8 AM – 5 PM EST, depending on business needs
Responsibilities
Claims Review and Processing
- Analyze, review, and process complex medical claims following program policies.
- Adjudicate claims based on established guidelines and apply critical thinking to nuanced scenarios.
Timely Processing
- Ensure claims are completed within required timelines.
- Identify processing barriers and resolve them using effective problem-solving strategies.
Issue Resolution
- Collaborate with internal teams to resolve discrepancies.
- Investigate root causes of issues and implement appropriate solutions.
Confidentiality Maintenance
- Protect patient information and company data in compliance with HIPAA regulations.
Record Keeping
- Maintain complete, accurate documentation of processed, denied, or escalated claims.
Trend Monitoring
- Review and report trends in claim irregularities.
- Assist Team Leads with data reporting to improve processes.
Audit Participation
- Participate in audits, compliance checks, and internal reviews.
- Provide recommendations for improvements when needed.
Mentoring
- Support and mentor new claims processors as assigned.
Requirements
- High school diploma or equivalent
- Minimum of 5 years of medical claims processing experience
- Must include professional and facility claims
- Must include complex and high-dollar claims
- Billing experience does not count toward the 5 years
- Familiarity with ICD-10, CPT, and HCPCS coding
- Understanding of medical terminology and insurance procedures
- Experience with workers’ compensation claims is a plus
- Strong attention to detail and accuracy
- Ability to interpret and apply insurance policies and government regulations
- Excellent verbal and written communication skills
- Proficiency in Microsoft Word, Excel, and Outlook
- Ability to manage high-volume claims independently and collaboratively
- Experience with appeals and denial resolution
- Strong critical thinking and customer-service mindset
- Ability to adapt to evolving client requirements and program changes
- Reliable high-speed internet with the ability to connect via ethernet cable
Benefits
- 401(k) with employer match
- Health, dental, and vision insurance
- Life insurance
- Flexible Paid Time Off (PTO)
- Paid holidays
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 13, 2025 | Uncategorized
Help connect life-saving mental health care to communities nationwide.
About Charlie Health
Charlie Health delivers virtual, personalized behavioral health treatment for young people and adults with complex needs. Their mission is to connect the world to life-saving mental healthcare by removing traditional barriers like geography, long waitlists, and limited local options.
The organization provides a comprehensive virtual IOP system blending group therapy, individual therapy, and family support. As Charlie Health continues to expand, they rely on strong clinical recruiting pipelines to ensure exceptional care delivery across the country.
Schedule
- Full-time, fully remote role (U.S. based)
- Fast-paced, high-volume clinical recruiting environment
- Requires flexibility, independence, and comfort working across time zones
- Daily use of ATS systems and digital communication platforms
Responsibilities
- Proactively source and recruit clinicians through job boards, cold outreach, social media, research, networking, and referrals
- Manage the ATS and internal job postings with consistency and best practices
- Conduct candidate screenings and coordinate interviews
- Partner with hiring managers and leadership to understand clinical needs and role requirements
- Build and maintain strong relationships with prospects to nurture a healthy recruiting pipeline
- Document all candidate activity accurately and efficiently
- Identify new clinical networks, sourcing opportunities, and creative strategies to expand talent reach
- Support rapid-growth hiring goals by working efficiently and independently
Requirements
- 3–6+ years of recruiting experience (clinical recruiting strongly preferred)
- Work authorization in the United States; native or bilingual English proficiency
- Proficient with sourcing through multiple social media and professional platforms
- Strong research, analytical, and pipeline-building skills
- Excellent interpersonal and relationship-building skills
- Ability to energize candidates and build rapport quickly
- Strong project management and organization skills
- Ability to operate in a fast-paced, high-growth environment
Benefits
- Comprehensive benefits for full-time, exempt employees
- Expected base pay: $66,000–$77,000 annually
- Total compensation may also include incentives, bonuses, and long-term incentive packages
- Remote work flexibility
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 13, 2025 | Uncategorized
Use your full-cycle recruiting skills to help build a mission-driven mental health organization from anywhere in the U.S.
About Charlie Health
Charlie Health provides virtual, personalized behavioral healthcare for people with complex mental health needs. Their mission is to connect the world to life-saving treatment by removing barriers like geography, waitlists, and one-size-fits-all care. Through intensive virtual programs that blend group, individual, and family therapy, Charlie Health helps clients heal from the comfort of home.
As the company grows, they need sharp, values-driven recruiters to bring in the talent that powers this work.
Schedule
- Full-time, remote role within the United States
- Partners with hiring managers across business groups (Admissions, Engineering, Operations, etc.)
- Fast-paced, high-volume recruiting environment
- Requires comfort with managing multiple open roles and stakeholders at once
Responsibilities
- Partner with hiring managers to define role requirements and build tailored talent acquisition strategies
- Own full-cycle recruiting: sourcing, screening, interviewing, candidate management, and closing offers
- Source qualified candidates through job boards, professional networks, referrals, and creative outreach channels
- Organize and manage job postings, recruiting campaigns, and candidate pipelines across platforms
- Maintain and deepen relationships with external recruiting partners and key talent networks
- Present high-quality candidates to hiring managers and iterate based on feedback
- Introduce candidates to Charlie Health’s mission, culture, and care model in a compelling, authentic way
- Track and manage candidates in an organized, consistent manner using ATS and related recruiting tools
- Experiment with new sourcing tactics to expand and diversify the candidate pool
Requirements
- 2–5 years of full-cycle recruiting experience (sourcing through offer close)
- Experience recruiting in a high-growth startup or large, fast-moving organization preferred
- Proven ability to manage multiple requisitions and stakeholders at once
- Strong relationship-building and consultative communication skills
- Ability to energize candidates and hiring managers and build trust quickly
- Strong project management skills and attention to detail
- Comfortable working in a remote, fast-paced environment
- Work authorization in the United States and native or bilingual English proficiency
Benefits
- Comprehensive benefits for full-time, exempt employees
- Target base salary: $73,000–$91,000 per year
- Target total cash compensation (with performance bonus): $91,000–$113,000 per year
- Additional total rewards may include stock options and other company-sponsored benefits
Help build the teams that deliver life-saving mental health care — one great hire at a time.
Happy Hunting,
~Two Chicks…
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