Medical Claims Processor II – Remote

Put your claims expertise to work supporting the World Trade Center Health Program. This role offers meaningful impact, stability, and the chance to grow in a supportive, mission-driven environment.

About Broadway Ventures
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB) that partners with government and private sector clients. We deliver tailored program management, technology, and consulting solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we are more than a service provider—we are trusted partners in innovation.

Schedule

  • Fully remote (U.S.)
  • Monday–Friday, 8:30 AM–5:00 PM EST
  • Must be able to work Eastern Standard Time

What You’ll Do

  • Review, analyze, and process complex medical claims accurately and on time
  • Apply program guidelines and critical thinking to adjudicate claims
  • Collaborate across teams to resolve discrepancies and ensure compliance
  • Maintain accurate records of claims, denials, and audits
  • Mentor and support new claims processors as needed
  • Monitor trends and assist with reporting for process improvements

What You Need

  • High school diploma or equivalent
  • 5+ years of medical claims processing experience (professional, facility, complex, high-dollar)
  • Strong knowledge of ICD-10, CPT, and HCPCS coding systems
  • Familiarity with medical terminology, insurance procedures, and HIPAA standards
  • Excellent attention to detail, organization, and follow-through
  • Proficiency in Microsoft Office Suite
  • Strong communication skills and ability to work independently
  • Experience resolving claim denials and appeals

Benefits

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

Advance your career while making a difference in healthcare claims accuracy.

Be part of a team where your expertise directly improves patient outcomes.

Happy Hunting,
~Two Chicks…

APPLY HERE