Redetermination (Appeals) Specialist – Remote

Help streamline Medicare appeals and support accurate case resolution for a mission-driven government contractor committed to operational excellence and service.

About Broadway Ventures

Broadway Ventures is a fast-growing 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business delivering program management, technology solutions, and consulting services to federal and private-sector partners. We turn complex challenges into measurable results, building efficient systems that drive compliance, service quality, and growth.

Schedule

  • Fully remote (US-based)
  • Monday to Friday
  • Full-time, 40 hours weekly

Responsibilities

  • Review Medicare appeal cases and process redetermination letters with accuracy and timeline compliance
  • Support reporting needs, analyze workload data, and troubleshoot processing issues
  • Maintain and update letter templates and internal documentation
  • Prepare supporting documents for legal and administrative requests
  • Protect confidential information and uphold regulatory standards

Requirements

  • High school diploma or equivalent; Associate or Bachelor degree preferred
  • Minimum 2 years experience in healthcare, insurance, or Medicare/Medicaid services
  • Customer service background preferred
  • Medicare experience a plus (training provided)
  • Strong written communication and grammar
  • Proficiency in Microsoft Office (Word, Excel, Outlook)
  • High attention to detail and strong judgment handling sensitive data

Benefits

  • Health, dental, and vision insurance
  • 401(k) with company match
  • Life insurance
  • Paid Time Off & holidays

Happy Hunting,
~Two Chicks…

APPLY HERE