Reimbursement Specialist

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🔥 20 hours ago

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Simsy Ventures

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2022

💼 Consulting

📣 Marketing

🏥 Healthcare

Consulting • Marketing • Healthcare

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, analyze, and ensure the accuracy and timeliness of Medicare cost report acceptance, tentative and straight-to-final settlements, Medicare interim rates, and applicable limits for providers in the Fiscal Intermediary Shared Systems (FISS) • Process cost report correspondence, including mail correspondence, cost report processing, and tentative and final settlements • Analyze cost report documentation to determine whether acceptance criteria are met • Update FISS and STAR systems with Provider Enrollment applications • Update systems to reflect rate changes from payment rate reviews, provider reviews, and CMS-mandated changes • Build constructive working relationships with clients, customers, work units, and other individuals • Collaborate with Recoupment, Systems Support, Provider Call Center, Provider Audit, Provider Enrollment, PreProcess, and Provider Education on provider payment and systems issues • Answer provider questions about payments, cost reports, and reimbursement issues • Mentor new and existing staff • Collaborate with team members to meet department goals and timeliness requirements • Support a team-based work environment through feedback, team goals, and process improvement • Attend training courses and workshops • Perform other duties as assigned

🎯 Requirements

• High school diploma or GED • 1 year of work experience in customer service, general office, accounting, or healthcare • Accurate data entry • Demonstrated problem-solving skills • Preferred: 2 years' experience in accounting or healthcare • Preferred: Effective oral and communication skills • Preferred: Excellent time management and customer service skills • Preferred: Excellent attention to detail and high level of accuracy • Preferred: Critical thinking and analysis skills • Successful completion of background checks and drug testing prior to employment; some positions may require fingerprinting

🏖️ Benefits

• 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