Verse Medical
healthcare
RCMEnrollmentsSpecialist
Neural analysis suggests this role is
optimal for Mid candidates.
“RCM Enrollments Specialist at Verse Medical. Skills: Enrollment process management, EDI/EFT/ERA, Payer relations, Problem resolution. Manage end-to-end enrollment process for EDI, EFT, and ERA. Add and configure new payers to the system”
What You'll Achieve.
Ensure seamless electronic connections; Minimize manual intervention; Ensure EFT/ERA setups are active; Ensure funds are routed correctly
Industry & Context.
Investigate and resolve electronic connection issues; Identifying root causes for transmission failures
What They're Looking For.
Must Have
3+ years of experience in Revenue Cycle Management, specifically focused on Enrollments or EDI Management, Proven track record of managing enrollments across a large, national payer base (Commercial, Medicare, and Medicaid), Deep technical expertise in HIPAA standard transactions: 270/271, 837, and 835, Proficiency with major clearinghouse platforms, Proficiency in Excel for tracking high-volume enrollment statuses and project management, Comprehensive understanding of payer-specific enrollment portals and paper-based enrollment requirements, Familiarity with NPI, Tax ID, and PTAN configurations in relation to electronic billing, Exceptional organizational skills with the ability to manage thousands of moving parts simultaneously, Relentless follow-through
Nice to Have
Experience working within a DME (Durable Medical Equipment) environment is highly preferred
What You'll Do.
Manage end-to-end enrollment process for EDI
Add and configure new payers to the system
Serve as internal subject matter expert
Investigate and resolve electronic connection issues
Audit existing payer connections
Monitor health of transaction loops
How You'll Work.
Team & Collaboration
Coordinate with Payer Relations and Finance teams; Work closely with the Billing Team, Payer Relations, and Engineering; Act as the bridge between company and payers
Full Job Description
OUR MISSION: HOSPITAL-QUALITY CARE, EVERYWHERE. The healthcare industry still relies on faxes and phone tag to coordinate critical care for patients at home. We think patients and the clinicians who serve them deserve better than a system stuck in 1995. Verse Medical is building the modern software infrastructure to make it happen. We're a well-funded Series C company (backed by General Catalyst, SignalFire, and Sapphire Ventures) on a mission to heal a fragmented system. Our platform connects the dots between providers, payors, and patients, ensuring people get the high-quality care they need, reliably and right where they live. We’re growing fast and looking for people who are driven by this mission to join us! OUR VALUES: THE PRINCIPLES THAT GUIDE US Our values are the operating system for how we work together and with our partners. They aren't just words on a wall; they are the principles we bring to every decision, every day. - We are transparent, upfront and direct. We operate with honesty and clarity. We share information openly, the good and the bad, and believe that direct, respectful feedback is the foundation of trust and progress. - We value speed of iteration. We are building something new, which means we learn by doing. We prioritize rapid iteration and getting solutions into the hands of users, believing that progress is more valuable than perfection. - We give 110% effort, 30% of the time. We are passionate about our mission, and there are moments that require us to go the extra mile. We believe in focused intensity when it counts, balanced by a sustainable pace that keeps our team energized for the long run. - We empathize with customers to a fault. When our users face a problem, we own it. Instead of asking them to change, we ask ourselves, "How can we make this better?" We believe true innovation comes from deep empathy and a relentless focus on solving the real-world challenges of healthcare. THE OPPORTUNITY We are seeking a highly detail-oriente
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