Simsy Ventures logo
Simsy Ventures

A builder, an institutional co-founder & a partner from ideas to new startups, ventures & beyond 🚀

Reimbursement Specialist

GeneralGeneralFull TimeRemoteJuniorTeam 11-50Since 2022H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

15 days ago

Salary

0

Seniority

Junior

High School1 yr expEnglish

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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