RCM Enrollments Specialist

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 8 hours agoStatus: Live

Job Summary

Detail-oriented RCM Enrollments Specialist to lead national enrollment operations for a DME-focused payer network, managing EDI, EFT, and ERA enrollments, expanding payer connections, and ensuring healthcare payments flow smoothly.

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Finance & Accounting

Key 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 its network.
•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.

Key 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.

Experience:3+ yearsHealthcareRevenue cycle managementEDIDME

Skills:OrganizationAttention to detailCommunicationProblem-solving

Tech Stack:HIPAA270/271837835Clearinghouse platformsExcel

Company Brief

Verse Medical

Develops medical devices and related technologies aimed at improving clinical procedures and patient outcomes. Focuses on designing, prototyping, and bringing healthcare hardware solutions to market for use in hospitals and clinical settings.

Industry: Medical Devices

Website

Loading job details...

Preparing the role view and application actions.

Verse Medical

2 months ago

RCM Enrollments Specialist

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 8 hours agoStatus: Live

Job Summary

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Finance & Accounting

Key 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 its network.
•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.

Key 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.

Experience:3+ yearsHealthcareRevenue cycle managementEDIDME

Skills:OrganizationAttention to detailCommunicationProblem-solving

Tech Stack:HIPAA270/271837835Clearinghouse platformsExcel

Company Brief

Verse Medical

Industry: Medical Devices

Website