Redetermination (Appeals) Specialist – Remote

Support Medicare appeals for a growing government-contracting firm known for innovation, precision, and mission-driven impact.


About Broadway Ventures

Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business delivering program management, technology solutions, and consulting to government and private-sector partners. We help organizations solve complex challenges with tailored, forward-thinking strategies. Built on integrity, collaboration, and excellence, we operate as a trusted partner committed to operational success and long-term growth.


Schedule

  • Full-time
  • Monday through Friday
  • Remote, United States

What You’ll Do

  • Complete non-medical reviews and process redetermination letters accurately and within required timelines.
  • Prepare and analyze unit reports, reviewing workload data and identifying processing issues.
  • Update departmental letters, templates, and documentation.
  • Gather documents for legal inquiries, audits, or administrative requests.

What You Need

  • High School Diploma required; Associate’s or Bachelor’s degree preferred.
  • 2+ years of experience in healthcare, insurance, or Medicare/Medicaid services.
  • Customer service and Medicare experience preferred (training provided).
  • Proficiency with Microsoft Word, Excel, and Outlook.
  • Excellent attention to detail and strong written and verbal communication skills.
  • Ability to handle confidential information and exercise sound judgment.

Benefits

  • 401(k) with employer match
  • Medical, dental, vision, and life insurance
  • Paid Time Off
  • Paid Holidays
  • Remote work flexibility

Take the next step toward joining a mission-focused team that values integrity, precision, and collaboration.

Happy Hunting,
~Two Chicks…

APPLY HERE