RCM Enrollments Specialist

About the Company

Verse Medical is building the modern software infrastructure to coordinate critical care for patients at home. We are a well-funded Series C company on a mission to connect providers, payors, and patients to ensure high-quality care is delivered reliably where people live.

Responsibilities

• Manage and execute the end-to-end enrollment process for EDI, EFT, and ERA for a national network of thousands of payers.
• Proactively add and configure new payers to the system as the company expands.
• Serve as the internal subject matter expert for clearinghouse operations and payer-specific enrollment requirements.
• Investigate and resolve electronic connection issues and transmission failures.
• Audit existing payer connections to ensure EFT/ERA setups are active and funds are routed correctly.
• Monitor the health of 270/271 and 837/835 transaction loops.
• Coordinate with Payer Relations and Finance teams to align enrollment data with credentialing and banking requirements.

Requirements

• 3+ years of experience in Revenue Cycle Management focused on Enrollments or EDI Management.
• Deep technical expertise in HIPAA standard transactions: 270/271, 837, and 835.
• Proficiency with major clearinghouse platforms.
• Strong proficiency in Excel for high-volume tracking.
• Comprehensive understanding of payer-specific enrollment portals and paper-based requirements.
• Familiarity with NPI, Tax ID, and PTAN configurations.

Preferred Qualifications

• Experience working within a DME (Durable Medical Equipment) environment.