Broadway Ventures is seeking a detail-oriented Medical Claims Processor to join our team supporting the World Trade Center Health Program. This role is ideal for professionals with extensive medical claims experience who thrive in a fast-paced environment and want to make a positive community impact while working from home.
About Broadway Ventures
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB) specializing in program management, consulting, and technology solutions. We partner with government and private sector clients to deliver operational success, sustainability, and growth. Built on integrity, collaboration, and innovation, we’re more than a service provider—we’re your trusted partner.
Schedule
- Remote, U.S. based
- Monday to Friday, 8:30 AM – 5:00 PM EST
- Must be available to work full Eastern Standard Time schedule
What You’ll Do
- Review and process complex medical claims in line with program policies and procedures
- Apply critical thinking to adjudicate claims accurately and efficiently
- Resolve discrepancies and collaborate with internal teams to address issues
- Maintain compliance with HIPAA and ensure confidentiality of patient records
- Track and analyze claim trends, preparing reports for management
- Participate in audits and compliance reviews, recommending process improvements
- Mentor and support new claims processors as needed
What You Need
- High school diploma or equivalent required
- 5+ years of experience in medical claims processing (professional, facility, complex, and high-dollar claims) – billing experience does not qualify
- Familiarity with ICD-10, CPT, and HCPCS coding systems
- Knowledge of medical terminology, insurance procedures, and healthcare services (worker’s comp experience a plus)
- Strong accuracy, attention to detail, and problem-solving skills
- Excellent written and verbal communication skills
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
- Ability to work independently and as part of a team
- Experience with claim denial resolution and appeals
Benefits
- 401(k) with employer matching
- Health, dental, and vision insurance
- Life insurance
- Flexible Paid Time Off (PTO)
- Paid holidays
- Work from home flexibility
Step into a role where your expertise directly improves claim accuracy, compliance, and patient outcomes. Broadway Ventures offers the opportunity to make a meaningful impact while enjoying the flexibility of remote work.
Happy Hunting,
~Two Chicks…