Reimbursement Specialist

Broadway Ventures is a 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB) that transforms challenges into opportunities with expert program management, cutting‑edge technology, and innovative consulting solutions. We empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth.

• 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, Pre Process, 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.

• High school diploma.
• At least 1 year of experience in accounting or healthcare.
• Strong data entry accuracy.
• Demonstrated problem‑solving skills.

• 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.

• 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.
• 401(k) and 401(k) matching.
• Disability insurance.
• Medical insurance.
• Life insurance.
• Flexible paid time off (F PTO).
• Paid holidays.
• Drug screening.
• Fingerprinting for Personal Identity Verification (PIV) – subject to additional background investigations conducted by the Defense Counterintelligence and Security Agency. Must be eligible and obtain a PIV card.

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.