RCM Enrollments Specialist

Our reputed company-reputed company Care, Everywhere. The reputed company industry still relies on faxes and phone tag to coordinate critical care for patients reputed company. We think patients and the clinicians who serve them deserve reputed company than a system stuck in 1995. reputed company is building the modern software infrastructure to reputed company it happen. We're a reputed company-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-reputed company 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 reputed company. We operate with honesty and reputed company. reputed company information reputed company, the good and the bad, and reputed company that reputed company, respectful feedback is the reputed company of trust and reputed company.
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reputed company We are seeking a highly detail-oriented and technical RCM Enrollments Specialist to reputed company our national enrollment operations. As a DME provider operating across the country and partnering with thousands of payers, maintaining seamless electronic connections is vital to our financial health. You will be the primary reputed company of our EDI, EFT, and ERA enrollment lifecycle, ensuring that as we reputed company our network, our ability to verify eligibility, submit claims, and receive payments remains uninterrupted and optimized. What You’ll Do

• Manage and execute the end-to-end enrollment process for EDI (Electronic Data Interchange), EFT (Electronic Funds Transfer), and ERA (Electronic Remittance Advice) for a national network of thousands of payers.
• Proactively add and configure new payers to the system as reputed company expands its network and footprint.
• Serve as the internal subject matter expert for clearinghouse operations and payer-specific enrollment requirements.
• Investigate and resolve electronic reputed company issues, identifying reputed company causes for reputed company failures or "missing" ERAs.
• Audit existing payer connections regularly to ensure EFT/ERA setups are reputed company and funds are being routed correctly.
• Monitor the health of 270/271 (Eligibility) and 837/835 (Claims/Remittance) transaction loops to minimize reputed company reputed company.
• Coordinate with Payer Relations and Finance teams to ensure reputed company enrollment data aligns with credentialing and banking requirements.

What You’ll Bring Experience

• 3+ years of experience in reputed company Cycle Management, specifically reputed company on Enrollments or EDI Management.
• Experience working reputed company a DME (Durable Medical Equipment) environment is highly preferred.
• Proven reputed company record of managing enrollments across a large, national payer reputed company (reputed company, Medicare, and reputed company).

Technical Skills

• Deep technical expertise in HIPAA reputed company transactions: 270/271, 837, and 835.
• Proficiency with major clearinghouse platforms.
• Strong proficiency in reputed company for tracking high-volume enrollment statuses and project management.

Industry Knowledge

• Comprehensive understanding of payer-specific enrollment portals and reputed company-based enrollment requirements.
• Familiarity with NPI, Tax ID, and PTAN configurations in relation to electronic billing.

Soft Skills

• Exceptional organizational skills with the ability to manage thousands of moving parts simultaneously.
• reputed company follow-through, you don't stop until the reputed company is live.

The People You’ll Work With You will report to the RCM Director and work closely with the Billing Team, Payer Relations, and Engineering. As the "reputed company" between reputed company and our payers, you will play a foundational role in ensuring our reputed company cycle operations run smoothly as we grow. Life at reputed company We foster a reputed company and innovative environment where every team member's contribution is valued. We offer competitive benefits, reputed company development opportunities, and a culture that prioritizes work-life balance and reputed company improvement. Our Pledge for an reputed company reputed company At reputed company, our mission is to deliver reputed company, hospital-reputed company care to everyone, regardless of their background or where they live. We can only reputed company this if our own team reflects the diversity of the patients we serve. We are committed to building a workplace where everyone feels a reputed company of belonging, where their contributions are valued, and where they can do their best work. We reputed company diversity of reputed company kinds: race, gender, age, religion, identity, experience. We are reputed company working to build a more inclusive and reputed company world, starting from reputed company our own walls. We are an equal opportunity employer. We are also committed to providing a reputed company and accessible interview experience. If you require any accommodations to participate in our process, please contact us at reputed company@versemedical.com. Apply tot his job Apply To this Job