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Broadway Ventures

Claims Rep II – GHA Redetermination Rep

Broadway Ventures · Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, North Carolina, South Carolina, Texas, Wisconsin

Posted about 2 months ago

or apply directly on Broadway Ventures's site. We never take the application ourselves.

Is this posting real?

This role has been open
73 days
Broadway Ventures's roles stay open a median of 52 days
Reposted
No
Salary listed
No
57% of Broadway Ventures's roles list one
Ghost-job risk at Broadway Ventures
high
15 stale, 0 reposted of 23 open
Hiring momentum
34 roles opened in the last 90 days
↑ up vs. the prior 90 days
Last confirmed on the employer's board
2026-10-23

Measured from postings appearing on and disappearing from Broadway Ventures's own greenhouse board since 2026-08-03. Full hiring picture for Broadway Ventures.

About this role

The Claims Rep II – GHA Redetermination Rep role involves responding to first-level appeals regarding Medicare claims. Daily tasks include reviewing claims, determining medical necessity, generating decision letters, and maintaining communication with customers and providers. The position requires applying Medicare guidelines and effectively using various technological tools to manage claims and documentation.

Our read on this posting2.4out of 5
benefits
3/5
freshness
1/5
career value
4/5
role clarity
4/5
pay transparency
0/5

Scored from the posting itself — how clearly the role is described, how much it says about pay and benefits, and how recently it was listed. Not a judgement of Broadway Ventures as an employer.

What you need

  • Must have lived in the United States at least 3 out of the last 5 years
  • High School diploma or equivalent

Nice to have

  • 2 or more years recent Medicare experience (customer service, claims processing, or medical billing) dealing with coverage and medical necessity determinations
  • Experience with navigating multiple systems
  • Experience with being successful in a production and quality-based environment
  • Experience with letter writing with attention to details and proficient grammar

What you get

  • 401(k) and company match
  • PTO that grows the longer you stay
  • Health, Vision, Dental
  • Company provided Life Insurance and Voluntary Life Insurance
  • Short Term Disability and Long Term Disability

Worth weighing

  • Total compensation value is stated as $22/hr
  • Remote work is only available in specific states
  • Training schedule is set with specific hours
  • Background checks and drug testing are required prior to employment

Summarised from Broadway Ventures's posting. Read the full original.

Listed by Broadway Ventures on their greenhouse job board, last confirmed open on 2026-10-23. PitchMeAI is not the employer.

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