Medical Claims Processor I

Job Description

Job Description

At Broadway Ventures , we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider—we're your trusted partner in innovation.

Become an integral part of a dedicated team supporting the World Trade Center Health Program. In this role, you will leverage your strong attention to detail and commitment to accuracy in processing complex medical claims. If you are eager to make a positive impact in the community through your administrative skills, we encourage you to apply.

Work Schedule

• Remote
• Monday through Friday, 8 : 30 AM to 5 : 00 PM EST
• Must be able to work 8am - 5pm Eastern Standard Time

Responsibilities

Claims Review and Processing

Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance.

Critical Analysis

Adjudicate claims according to program guidelines, applying critical thinking skills to navigate complex scenarios.

Timely Processing

Issue Resolution

Confidentiality Maintenance

Uphold confidentiality of patient records and company information in accordance with HIPAA regulations.

Detailed Record Keeping

Maintain thorough and accurate records of claims processed, denied, or requiring further investigation.

Trend Monitoring

Audit Participation

Mentoring

Requirements

Billing experience doesn't count towards years of experience qualification

Benefits

What to Expect Next :

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and discuss salary requirements. Management will be conducting interviews with the most qualified candidates. We perform a background and drug test prior to the start of every new hires' employment. In addition, some positions may also require fingerprinting.

Broadway Ventures is an equal-opportunity employer and a VEVRAA Federal Contractor committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because they drive curiosity, innovation, and the success of our business. We do not discriminate based on military status, race, religion, color, national origin, gender, age, marital status, veteran status, disability, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.