Reimbursement Specialist

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Simsy Ventures

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2022

🤝 B2B

B2B • Startup • Sustainability

Simsy Ventures is a venture builder and institutional co-founder that partners with entrepreneurs, investors, and corporations to create sustainable startups. Their mission focuses on enabling startups to achieve true potential while promoting a positive impact on profits, people, and the planet. With a structured approach, they support startups throughout their lifecycle, from ideation to market validation and growth. By leveraging a repeatable venture studio model, Simsy Ventures aims to uplift economies globally through impactful entrepreneurship.

📋 Description

• 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

🎯 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