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.

Pay Rate: $17-$24/hr

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.

Key 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

Required Qualifications

High school diploma

At least 1 year of experience accounting, or healthcare

Strong data entry accuracy

Demonstrated problem-solving skills

Preferred Qualifications

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

Why Join Us?

Impactful Work: Contribute to Medicare compliance and provider reimbursement, ensuring proper healthcare funding.

Professional Growth: Gain exposure to complex reimbursement models and regulatory compliance in a dynamic healthcare environment.

Collaborative Team: Work with industry experts in a supportive, team-oriented culture.

Benefits :  

401(k)  

401(k) matching  

Dental insurance  

Disability insurance  

Medical   insurance  

Life insurance  

Flexible Paid time off ( F PTO)  

Paid Holidays  

Background Check Process:

Education, criminal (local, federal), 7 years work history

Drug screen

Fingerprinting for Personal Identity Verification (PIV) Card

Subject to additional background investigations conducted by the Defense Counterintelligence and Security Agency. 

Must be eligible, and obtain a PIV card .

Credit Score Check

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