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← Broadway Ventures

Medical Review II (Medicare)

Broadway Ventures
Location
Remote
Posted
11 days ago
Department
Medical Services
Salary
$62,000-$65,000
What they actually want (must-haves)
  • Associate Degree in Nursing or Graduate of an accredited School of Nursing
  • Active RN licensure in state hired or active compact multistate RN license
  • 2 years clinical experience
  • Working knowledge of word processing software
  • Ability to work independently and prioritize effectively
  • Good judgment skills
Nice to have
  • Bachelor's degree in Nursing or Graduate of an Accredited School of Nursing
  • Preferred experience of minimum 3 years RN clinical experience
  • Knowledge of spreadsheet and database software
  • Ability to persuade, negotiate, or influence others
  • Working knowledge of managed care and various current forms of health care delivery systems
What the job really is

The Medical Review II (Medicare) position at Broadway Ventures involves a licensed Registered Nurse performing complex medical reviews of Medicare claims specifically for Inpatient Rehabilitation Facility services. The role includes conducting pre-claim reviews, evaluating documentation requests, and communicating decisions to healthcare providers, all while adhering to strict deadlines. This remote position requires strong analytical skills and the ability to work independently in a production-driven environment.

Benefits
  • 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
Things to weigh
  • Pay range is $62,000-$65,000, but actual pay may vary based on various factors
  • Position may be contingent upon contract award, affecting job security
  • Work is production-driven with strict turnaround requirements, which may impact work-life balance
Job score4/5
Benefits3/5
Freshness5/5
Career value3/5
Role clarity4/5
Pay transparency5/5

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