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 timel