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Expect scenarios on denial reasons, timely filing, and how you prioritize an aging A/R queue. Be ready to walk through a clean claim vs. a rework path, and how you communicate with payers or internal teams without oversharing PHI. Bring concrete examples of accuracy under volume and tools you have used for claim status.
Strong fit if you are organized, detail-oriented, and comfortable with payer rules and follow-up workflows at the specialist I level. DATA does not include benefits, team size, or industry vertical beyond the employer name and domain.
As a Reimbursement Specialist I at Broadway Ventures, a typical day centers on claim and payment follow-up: reviewing denials and underpayments, submitting corrected claims or appeals, tracking payer responses, and documenting outcomes in billing systems. You may field status inquiries, verify eligibility or authorization details when gaps block payment, and hand off complex cases to senior specialists. Work is United States–based and not flagged as remote in the listing.
The job data marks remote as no; treat it as a United States–based, non-remote listing unless Broadway Ventures states otherwise in the full posting.
Entry-level reimbursement work typically means claim follow-up, denial rework, documentation, and payer communication under established procedures.
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Website: broadwayventures.com
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Broadway Ventures - Reimbursement Specialist I - United States About This Position The Reimbursement Specialist I at Broadway Ventures is a full-time, non-remote position. At Broadway Ventures, we empower government and private sector clients with tailored solutions that drive operational success, sustainability, and growth. The Reimbursement Specialist I plays a crucial role in managing Medicare cost report acceptance, tentative and final settlements, and interim rates for healthcare providers. Day-to-Day Responsibilities Processes cost report correspondence including mail correspondence, cost report processing, tentative and final settlements. Analyzes cost report documentation to ensure acceptability criteria are met for acceptance. Updates systems (FISS, STAR) with applications processed by Provider Enrollment. Reflects rate changes derived from payment rate reviews, provider reviews, and CMS-mandated changes in the systems. Buils constructive working relationships with clients/customers, other work units, and individuals to meet mutual goals and objectives. Collaborates with Recoupment, Systems Support, Provider Call Center, Provider Audit, Provider Enrollment, PreProcess, and Provider Education to support providers on various payment and systems issues. Requirements Experience in Medicare cost report processing and reconciliation. Strong analytical skills with the ability to perform detailed analysis of cost reports. Familiarity with FISS, STAR, and other relevant systems. Excellent communication and interpersonal skills for client interaction. Aptitude for working collaboratively in a team environment. Why Join Broadway Ventures Built on integrity, collaboration, and excellence, Broadway Ventures offers more than just services; it is your trusted partner in innovation. We provide an enriching work environment where employees can grow professionally while contributing to meaningful projects that make a difference. Next Steps To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.
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