Redetermination (Appeals) Specialist – Remote

Support Medicare’s appeals process by reviewing cases, preparing redetermination letters, and ensuring accurate documentation. This role is perfect for detail-oriented professionals who thrive in fast-paced, compliance-driven environments.


About Broadway Ventures
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB). We deliver tailored solutions in program management, technology, and consulting, helping government and private sector clients achieve growth and sustainability. Integrity, collaboration, and excellence drive everything we do.


Schedule

  • Full-time, Monday–Friday
  • 40 hours per week
  • 100% Remote

What You’ll Do

  • Review non-medical appeals and process redetermination letters with accuracy and compliance.
  • Prepare unit reports, analyze workload data, and resolve processing issues using various tools.
  • Update templates, letters, and departmental documents as needed.
  • Gather and prepare documentation for legal inquiries and administrative requests.

What You Need

  • High school diploma or equivalent (Associate’s or Bachelor’s preferred).
  • Minimum of 2 years’ experience in healthcare, insurance, or Medicare/Medicaid services.
  • Customer service and Medicare-specific experience preferred (training provided).
  • Proficiency with Microsoft Office Suite.
  • Strong organizational, communication, and judgment skills with excellent attention to detail.

Benefits

  • 401(k) with employer match
  • Health, dental, and vision insurance
  • Life insurance
  • Paid time off (PTO) and holidays

Make a difference by helping ensure fairness and accuracy in Medicare appeals.

Your skills can help shape better outcomes.

Happy Hunting,
~Two Chicks…

APPLY HERE

Provider Enrollment Analyst – Remote

Help ensure provider data accuracy and compliance while supporting critical healthcare enrollment operations. This role is ideal for detail-oriented professionals with Medicare enrollment experience who want to make an impact from home.


About Broadway Ventures
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB). We deliver program management, technology, and consulting solutions that drive results for government and private sector clients. Integrity, collaboration, and innovation are at the heart of everything we do.


Schedule

  • Full-time, Monday–Friday, 8:00 AM to 5:00 PM EST
  • Remote work available
  • If within 50 miles of Columbia, SC, must work onsite at 17 Technology Circle, Columbia, SC

What You’ll Do

  • Review and process medical provider enrollment applications (initial, re-enrollment, reactivation, or updates).
  • Verify provider data using internal systems and external agencies; set up/test EFT accounts.
  • Maintain accurate enrollment records and update directories.
  • Communicate with providers and internal teams to resolve discrepancies.
  • Support special projects, provider education, process improvements, and system testing.

What You Need

  • At least 1 year of Medicare Provider Enrollment experience, including CMS 855 applications and PECOS system use.
  • High school diploma or equivalent; Associate’s or Bachelor’s preferred.
  • Strong computer skills (Microsoft Office, data entry, databases).
  • Excellent communication, organization, and customer service skills.
  • Ability to analyze, problem-solve, and manage confidential information responsibly.
  • Must complete eQIP background investigation and credit check prior to hire.

Benefits

  • 401(k) with company match
  • Medical, dental, and vision insurance
  • Life and disability insurance
  • Paid time off and paid holidays

Build your career in healthcare operations with a trusted federal contractor.

Accuracy and detail are your strengths—put them to work here.

Happy Hunting,
~Two Chicks…

APPLY HERE

Medical Claims Reviewer – Remote

Bring your clinical expertise to a team making a direct impact on healthcare quality. As a Medical Claims Reviewer with Broadway Ventures, you’ll handle complex claims and ensure accurate, fair outcomes—all while working from home.


About Broadway Ventures
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB). We specialize in program management, technology, and consulting that help clients across government and private sectors thrive. Our work is built on integrity, collaboration, and innovation.


Schedule

  • Full-time, Monday–Friday, 8:00 AM to 4:30 PM EST
  • Remote work (must maintain a private home office with high-speed internet)
  • Occasional travel (about 4x/year) to Augusta, GA
  • Preference given to applicants living in South Carolina or Georgia, and within a HUBZone

What You’ll Do

  • Perform medical reviews for pre-pay and post-pay claims across multiple specialties (radiology, ambulance, physical therapy, surgical).
  • Determine medical necessity, appropriateness, and reimbursement accuracy.
  • Document medical rationale for claim approvals or denials.
  • Provide guidance to staff, educate non-medical teams, and support audits.
  • Mentor LPN team members and contribute to continuous process improvement.

What You Need

  • Active, unrestricted RN license (compact multistate license preferred).
  • Bachelor’s degree in Nursing (Master’s preferred).
  • 5+ years of clinical nursing experience; at least 2 years in utilization review, quality assurance, or home health.
  • Strong knowledge of managed care systems, coding protocols, and clinical guidelines.
  • Proficiency in Microsoft Office; ability to prioritize and work independently.

Benefits

  • 401(k) with employer match
  • Health, dental, and vision insurance
  • Life and disability insurance
  • Flexible spending account
  • Paid time off and holidays
  • Work-from-home flexibility

Advance your nursing career while improving healthcare outcomes.

Make your expertise count—apply today.

Happy Hunting,
~Two Chicks…

APPLY HERE

Medical Claims Processor II – Remote

Use your expertise in medical claims processing to support the World Trade Center Health Program. This role offers remote stability, meaningful impact, and a chance to grow with a mission-driven company.


About Broadway Ventures
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB). We deliver program management, technology, and consulting solutions that drive success for government and private sector clients. Built on integrity, collaboration, and innovation, we’re more than a service provider—we’re your trusted partner in results.


Schedule

  • Full-time, Monday–Friday
  • 8:30 AM to 5:00 PM EST (must be available during Eastern Standard Time hours)
  • 100% Remote

What You’ll Do

  • Review, adjudicate, and process complex medical claims with accuracy and compliance.
  • Resolve claim discrepancies, maintain confidentiality, and keep detailed records.
  • Analyze claim trends, support audits, and mentor new processors as needed.

What You Need

  • High school diploma or equivalent.
  • At least 5 years’ medical claims processing experience (not billing), including professional and facility claims.
  • Familiarity with ICD-10, CPT, and HCPCS coding systems; knowledge of medical terminology and insurance regulations.
  • Strong problem-solving, communication, and record-keeping skills.
  • Proficiency with Microsoft Office Suite; ability to manage a high volume of claims.

Benefits

  • 401(k) with employer match
  • Health, dental, and vision insurance
  • Life insurance
  • Flexible PTO and paid holidays

Advance your career while making a real impact.

Join a team where your skills matter.

Happy Hunting,
~Two Chicks…

APPLY HERE

Content Writer – Remote

Craft compelling blog posts, case studies, and articles that showcase web design, development, and digital strategy expertise. This role is perfect for experienced writers who thrive at the intersection of creativity and SEO, helping agencies grow their online presence.

About Blacksmith Agency
Blacksmith Agency is a digital-first agency specializing in web design, development, strategy, and optimization. Our team creates user-focused digital experiences that help businesses succeed. As we expand our inbound marketing efforts, we’re looking for a content professional to shape our voice and drive visibility.

Schedule

  • Full-time, Remote

What You’ll Do

  • Write high-quality blog posts, case studies, and articles highlighting agency expertise
  • Develop content strategies that align with business goals and track performance metrics
  • Conduct keyword research and implement on-page SEO best practices (titles, meta descriptions, headers, alt text)
  • Monitor performance with analytics tools and adjust strategies to improve reach and engagement
  • Showcase client success stories with compelling narratives that support lead generation

What You Need

  • 3–5 years of professional content writing experience (agency or digital marketing preferred)
  • Strong writing and editing skills with attention to detail
  • Familiarity with UX/UI, responsive design, and web development concepts
  • Proficiency with SEO tools such as Ahrefs, Moz, or SEMrush
  • Experience with CMS platforms, preferably WordPress
  • Excellent organizational and time management skills

Benefits

  • Competitive salary and benefits
  • Flexible remote work environment
  • Opportunity to collaborate with a team of creative professionals
  • Professional development opportunities in a thriving digital industry

Grow your career as the voice behind a leading digital agency.

Elevate Blacksmith’s presence as our Content Writer.

Happy Hunting,
~Two Chicks…

APPLY HERE