Analyze and process complex medical claims in accordance with program policies and procedures.
Adjudicate claims according to program guidelines using critical thinking.
Ensure timely processing and resolve barriers to meet client standards.
Collaborate with internal departments to resolve discrepancies.
Maintain patient record confidentiality per HIPAA regulations.
Keep thorough records of processed and denied claims.
Monitor trends and assist leadership with reporting.
Engage in audits and compliance reviews.
Mentor and train new claims processors.
Microsoft ExcelHIPAA
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About Broadway Ventures
Broadway Ventures empowers federal government agencies and private sector clients. You will transform challenges into opportunities with expert program management and innovative consulting solutions. They build and implement critical IT solutions, cybersecurity, and data validation services. Their work supports the Department of Veterans Affairs, Medicare/Medicaid operations, and the U.S. Air Force. Broadway Ventures operates as an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business. They recently graduated from the SBA 8(a) Business Development Program.
How We Work
Broadway Ventures fosters a collaborative and integrity-driven culture. Many team members work remotely across the United States. You will find a company built on service, reflecting its veteran-owned roots. They value compassionate leadership and teamwork, encouraging continuous improvement. Decision-making often occurs in open communication channels, ensuring transparency. This environment allows you to contribute directly to meaningful projects. You will work alongside professionals dedicated to public and private sector success.
Why Join Us
Contribute to vital federal government initiatives, directly impacting veterans and public services.
Work remotely with flexible hours, giving you control over your schedule.
Apply your specialized expertise to complex medical or auditing challenges.
Join a veteran-owned business that deeply values integrity and service.
Benefits & Perks
Fully remote work options available for many roles.
Flexible hours for medical case reviewers, completing tasks within 5 days.
Company-provided equipment for remote Registered Nurse positions.
Opportunity to make a meaningful impact on healthcare standards for veterans.
Competitive benefits including 401(k) matching and medical insurance for some roles.