Reimbursement Specialist I

Broadway Ventures

2h•$17 - $24

About The Position

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.

Requirements

High school diploma
At least 1 year of experience accounting, or healthcare
Strong data entry accuracy
Demonstrated problem-solving skills

Nice To Haves

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

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