Reimbursement Specialist I

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.

Reimbursement Specialist I

$17-$24/hr

Job Summary

The Reimbursement Specialist is responsible for the management, analysis, accuracy, and timeliness of Medicare cost report acceptance, tentative and straight to final settlements, Medicare interim rates and applicable limits for all providers in the Fiscal Intermediary Shared Systems (FISS). This position ensures the proper reimbursement for Medicare health care providers.

Essential Functions

Key duties, responsibilities, and accountabilities:

Processes cost report correspondence which may include mail correspondence, cost report processing, tentative and final settlements.

Performs analysis of cost report documentation to determine acceptability criteria is met to accept cost report.

Updates systems (FISS, STAR) with applications processed by Provider Enrollment.

Updates systems to reflect rate changes derived from payment rate reviews, provider reviews, and CMS-mandated changes.

Builds constructive working relationships with clients/customers, other work units, and other individuals to meet mutual goals and objectives.

Collaborates with Recoupment, Systems Support, Provider Call Center, Provider Audit, Provider Enrollment, PreProcess, and Provider Education to support providers on various payment and systems issues.

Answers provider questions on payments, cost reports, and other reimbursement issues.

Mentors new and existing staff.

Actively collaborates with members of the team to ensure department goals and timeliness are met.

Contributes positively to a team-based work environment by actively seeking and providing feedback, participating in team and divisional goals, and streamlining and improving processes.

Non-Essential Duties and Functions

Other duties as assigned.

Attends training courses/workshops.

Minimum Qualifications

High school diploma or GED.

1 year of work experience in customer service, general office, accounting or healthcare.

Accurate data entry.

Demonstrated problem solving skills.

Preferred Qualifications

Above requirements and the following:

2 years' experience in accounting or healthcare.

Effective oral and communication skills.

Excellent time management and customer service skills.

Excellent attention to detail and high level of accuracy.

Critical thinking and analysis skills.

What to Expect Next:

After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting.

Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law.

Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).

The pay range shown is a good-faith estimate of the compensation Broadway Ventures reasonably expects to pay for this position at the time of posting. It is not a guarantee of any particular wage, salary, or total compensation. Actual pay offered depends on job-related factors, which may include skills, experience, education, certifications and licensure, geographic work location, contract funding and budget. For positions covered by the Service Contract Act, pay is also governed by the applicable Department of Labor wage determination, which the government may revise.

Some positions are posted in support of a contract proposal that has not yet been awarded. Where that is the case, the position and its final compensation are contingent upon award of the contract to Broadway Ventures and on the terms of the awarded contract, including any government-approved labor rates and the applicable wage determination.

Broadway Ventures offers a comprehensive benefits package. A general description of benefits is below.

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