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Reimbursement Specialist
Location
United States
Posted
15 days ago
Salary
0
Seniority
Junior
Job Description
Reimbursement Specialist
Simsy Ventures
• Manage and ensure 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) • 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
Job Requirements
- High school diploma
- At least 1 year of experience accounting, or healthcare
- Strong data entry accuracy
- Demonstrated problem-solving skills
Benefits
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Medical insurance
- Life insurance
- Flexible Paid time off (PTO)
- Paid Holidays
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