RCM Enrollments Specialist

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 the 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 connection issues, identifying root causes for transmission failures or "missing" ERAs.

Audit existing payer connections regularly to ensure EFT/ERA setups are active and funds are being routed correctly.

Monitor the health of 270/271 (Eligibility) and 837/835 (Claims/Remittance) transaction loops to minimize manual intervention.

Coordinate with Payer Relations and Finance teams to ensure all enrollment data aligns with credentialing and banking requirements.

3+ years of experience in Revenue Cycle Management, specifically focused on Enrollments or EDI Management.

Experience working within a DME (Durable Medical Equipment) environment is highly preferred.

Proven track record of managing enrollments across a large, national payer base (Commercial, Medicare, and Medicaid).

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.

You will report to the RCM Director and work closely with the Billing Team, Payer Relations, and Engineering. As the "bridge" between our company and our payers, you will play a foundational role in ensuring our revenue cycle operations run smoothly as we grow.

We foster a collaborative and innovative environment where every team member's contribution is valued. We offer competitive benefits, professional development opportunities, and a culture that prioritizes work-life balance and continuous improvement.

At Verse Medical, our mission is to deliver equitable, hospital-quality care to everyone, regardless of their background or where they live. We can only achieve this if our own team reflects the diversity of the patients we serve. We are committed to building a workplace where everyone feels a sense of belonging, where their contributions are valued, and where they can do their best work. We embrace diversity of all kinds: race, gender, age, religion, identity, experience. We are actively working to build a more inclusive and equitable world, starting from within our own walls. We are an equal opportunity employer.

We are also committed to providing a positive and accessible interview experience. If you require any accommodations to participate in our process, please contact us at recruiting@versemedical.com .