Medical Claims Reviewer
Broadway Ventures(1 year ago)
About this role
Broadway Ventures is seeking a licensed RN with extensive clinical experience to review medical claims, utilizing clinical guidelines to assess medical necessity and payment appropriateness. The role involves collaboration, education, and quality control in a remote work setting, primarily supporting healthcare and claims processing.
Required Skills
- RN
- Medical Review
- Claims Processing
- Clinical Guidelines
- Healthcare Analytics
- Medical Coding
- Customer Service
- Microsoft Office
- Quality Assurance
Qualifications
- RN License
- Bachelor's Degree in Nursing
- Five years clinical experience
- Two years utilization/medical review experience
About Broadway Ventures
broadwayventures.netBroadway Ventures is an early-stage venture capital firm that partners with founders to build and scale technology-driven companies. The firm typically invests at seed and Series A, offering capital along with hands-on operational support in product, go-to-market, and talent. Broadway focuses on sectors like fintech, healthcare, marketplaces, and developer tools, leveraging a network of operators and investors to accelerate growth. They position themselves as long-term partners, helping portfolio companies through follow-on funding and strategic introductions.
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