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Insight Global

Senior Reimbursement Specialist

Insight Global, Orlando

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1 day ago Be among the first 25 applicants

This range is provided by Insight Global. Your actual pay will be based on your skills and experience talk with your recruiter to learn more.

Base pay range

$120,000.00/yr - $135,000.00/yr

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Location: Orlando, Fl Fully onsite first 90 days, 2 days onsite afterwards

Hours: Monday Friday 8:00 5:00 PM

Must-Haves:

  • 5+ years Backend Reimbursement experience
  • Cost reporting experience for Medicare/Medicaid Appeals
  • Experience filing state surveys + external reviews such as DSH, BD, WI, and S-10
  • Hospital/Healthcare (Not only MAC)

Plusses:

  • Bachelors degree in Accounting/Finance related
  • Previous experience with Lawson
  • CPA

Day to Day:

  • Prepare and submit Medicare and CHAMPUS cost reports , including amendments, appeals, and audits, ensuring compliance with federal and state regulations.
  • Provide expertise in reimbursement areas such as Medical Education, Bad Debts, DSH, Wage Index, and S-10 reporting for complex health systems.
  • Coordinate data collection and support external reviews , including time studies, bed counts, and bad debt logs, to optimize reimbursement outcomes.
  • Manage audits and regulatory changes , challenge adverse adjustments, and communicate updates to leadership for informed decision-making and compliance.
  • Handle enrollment and filings , including DSH/LIP surveys, 990 Schedule H, provider attestations, and wage index reclassification requests.
  • Analyze third-party settlements and lead process improvements , participate in strategic projects, and advocate for regulatory changes through CMS comment letters.
Seniority level
  • Seniority level
    Mid-Senior level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Accounting/Auditing
  • Industries
    Hospitals and Health Care

Referrals increase your chances of interviewing at Insight Global by 2x

Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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