RCM Enrollments Specialist

Verse Medical•Remote, Remote

About The Position

Verse Medical is seeking a highly detail-oriented and technical RCM Enrollments Specialist to lead their national enrollment operations. As a DME provider operating across the country and partnering with thousands of payers, maintaining seamless electronic connections is vital to their financial health. This role will be the primary owner of the EDI, EFT, and ERA enrollment lifecycle, ensuring that as the company scales its network, its ability to verify eligibility, submit claims, and receive payments remains uninterrupted and optimized.

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).
Deep technical expertise in HIPAA standard transactions: 270/271, 837, and 835.
Proficiency with major clearinghouse platforms.
Strong 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, you don't stop until the connection is live.

Responsibilities

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.