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Reimbursement Specialist I

United States - Remote

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.

The Reimbursement Specialist I is responsible for managing and ensuring the accuracy and timeliness of Medicare cost report acceptance, tentative and straight-to-final settlements, interim rates, and applicable limits for all providers in the Fiscal Intermediary Shared Systems (FISS). This position plays a vital role in securing proper reimbursement for Medicare healthcare providers.

Key Responsibilities

  • Process cost report correspondence, including mail, cost report submissions, and settlement documentation (tentative and final)

  • Analyze cost report documentation to determine whether acceptability criteria are met for submission

  • Update systems such as FISS and STAR with application data from Provider Enrollment

  • Maintain system accuracy by updating rate changes based on payment rate reviews, provider reviews, and CMS-mandated changes

  • Build constructive working relationships with internal teams, clients, and customers to meet shared goals

  • Collaborate with departments such as Recoupment, Systems Support, Provider Call Center, Provider Audit, Provider Enrollment, PreProcess, and Provider Education to resolve provider issues

  • Respond to provider inquiries regarding payments, cost reports, and reimbursement-related topics

  • Mentor and support onboarding and development of new and existing staff

  • Collaborate with team members to achieve departmental goals and ensure timely task completion

  • Contribute to a positive team environment through feedback, process improvement, and participation in team goals

Required Qualifications

  • High school diploma or GED

  • At least 1 year of experience in customer service, general office, accounting, or healthcare

  • Strong data entry accuracy

  • Demonstrated problem-solving skills

Preferred Qualifications

  • 2 years of experience in accounting or healthcare

  • Effective oral and written communication skills

  • Strong time management and customer service orientation

  • High attention to detail and accuracy

  • Strong critical thinking and analytical abilities

Why Join Us?

  • Impactful Work: Contribute to Medicare compliance and provider reimbursement, ensuring proper healthcare funding.
  • Professional Growth: Gain exposure to complex reimbursement models and regulatory compliance in a dynamic healthcare environment.
  • Collaborative Team: Work with industry experts in a supportive, team-oriented culture.

Benefits: 

  • 401(k) 
  • 401(k) matching 
  • Dental insurance 
  • Disability insurance 
  • Medical insurance 
  • Life insurance 
  • Flexible Paid time off (FPTO) 
  • Paid Holidays 

 

 

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.

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