Remote Medicare Redetermination Specialist

Broadway Ventures; United States; On-site; USD 30,000 - 33,000; Full time

Benefits offered by this job

401(k) with company match

PTO (paid time off)

Health, Vision, Dental

Life Insurance (company provided)

Short/Long Term Disability

Job summary

Broadway Ventures is seeking a Remote Redetermination Examiner to support Medicare-related reviews from a home-based setting. This 6-month assignment includes initial training and the opportunity to contribute to accurate, timely appeal decisions.

The ideal candidate will hold a High School Diploma or GED and have at least six months of related experience, showing strong analytical, communication, and adaptability in a structured environment.

Qualifications

• General PC knowledge and basic software proficiency.
• Strong prioritization, analytical and communication skills.
• Ability to adapt to changes and work independently in a remote environment.

Responsibilities

• Conducts redetermination reviews per Medicare rules and regulations.
• Responds to incoming appeals with professional, timely, and accurate communication.
• Researches claims processing deficiencies and initiates corrective response.
• Evaluates documentation to ensure CMS-compliant processing.

Skills

General PC knowledge

Prioritization

Analytical skills

Communication skills

Adaptability

Education

High School Diploma or GED

Job description

Broadway Ventures is seeking a Remote Redetermination Examiner to support Medicare-related reviews from a home-based setting. This 6-month assignment includes initial training and the opportunity to contribute to accurate, timely appeal decisions.

The ideal candidate will hold a High School Diploma or GED and have at least six months of related experience, showing strong analytical, communication, and adaptability in a structured environment.