RCM Enrollments Specialist
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. The posting includes: Mission, Values, The Opportunity (role description), What You’ll Do (responsibilities), What You’ll Bring (experience, technical skills, industry knowledge, soft skills), The People You’ll Work With, Life at the Company, Our Pledge for an Equitable Future (EEO). We need to remove boilerplate like EEO, equal-opportunity, scam-warning, cookie/navigation/legal, duplicated lines, application instructions. Also remove mission? The mission is part of About the role? The instruction: do NOT repeat the job title as a heading (the page already shows it). Use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we need to map content to these headings.
We have:
- About the role: could include mission, values, opportunity description. Probably combine mission and values and The Opportunity into About the role.
- Responsibilities: What You’ll Do.
- Requirements: maybe combine experience and technical skills? But we have separate sections: Requirements, Qualifications, Skills. The posting includes Experience, Technical Skills, Industry Knowledge, Soft Skills. We could map:
- Requirements: Experience (3+ years RCM enrollments, DME preferred, national payer base)
- Qualifications: Technical Skills (HIPAA transactions, clearinghouse, Excel)
- Skills: Industry Knowledge + Soft Skills (payer-specific portals, NPI, etc., organizational skills, follow-through)
But we need to ensure we only include sections with real specific content. All have content.
- Benefits: Life at the Company mentions competitive benefits, professional development, work-life balance, continuous improvement. That's specific enough? It says "We offer competitive benefits, professional development opportunities, and a culture that prioritizes work-life balance and continuous improvement." That's somewhat generic but still specific. We can include Benefits section.
- Pay: Not mentioned. No pay info. So we should NOT include Pay section.
- Schedule: Not mentioned. So omit.
We also need to include maybe a short
for metadata like Job ID etc. Not present. We must remove boilerplate: The "Our Pledge for an Equitable Future" includes EEO statement; we should remove that as it's equal-opportunity boilerplate. Also remove "We are an equal opportunity employer." etc. Also remove "If you require any accommodations..." etc. So we will omit that entire section. Also remove duplicated lines? Not seeing duplicates. We need to preserve ALL substantive information; do not invent or summarize away detail. So we need to keep the details: mission paragraph, values bullet points? The values are in prose; we need to keep them. We can keep as
paragraphs. We need to use
- for any list of duties/requirements/benefits. So for responsibilities we should convert each bullet? The responsibilities are in paragraph sentences separated by periods. We could split into list items. The instruction: Use
- for any list of duties/requirements/benefits. So we need to identify lists. The responsibilities are a series of actions; we can make each a
- . Similarly for requirements (experience) maybe list. For qualifications (technical skills) maybe list. For skills (industry knowledge + soft skills) maybe list. For benefits maybe list.
We must not invent content; we need to keep the exact phrasing? We can keep the substance but we can rephrase into list items as long as we preserve all detail. Probably acceptable.
Let's extract:
Mission paragraph: "Our Mission: Hospital-Quality Care, Everywhere. The healthcare industry still relies on faxes and phone tags to coordinate critical care for patients at home. We think patients and the clinicians who serve them deserve better than a system stuck in 1995. Verse Medical is building the modern software infrastructure to make it happen. We're a well-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-quality 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!"
Values paragraph: "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 direct. We operate with honesty and clarity. We share information openly, the good and the bad, and believe that direct, respectful feedback is the foundation of trust and progress. We value speed of iteration. We are building something new, which means we learn by doing. We prioritize rapid iteration and getting solutions into the hands of users, believing that progress is more valuable than perfection. We give 110% effort, 30% of the time. We are passionate about our mission, and there are moments that require us to go the extra mile. We believe in focused intensity when it counts, balanced by a sustainable pace that keeps our team energized for the long run. We empathize with customers to a fault. When our users face a problem, we own it. Instead of asking them to change, we ask ourselves, 'How can we make this better?' We believe true innovation comes from deep empathy and a relentless focus on solving the real-world challenges of healthcare."
Opportunity paragraph: "The Opportunity We are seeking a highly detail-oriented and technical RCM Enrollments Specialist to lead 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 owner of our EDI, EFT, and ERA enrollment lifecycle, ensuring that as we scale our network, our ability to verify eligibility, submit claims, and receive payments remains uninterrupted and optimized."
Responsibilities (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 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.
What You’ll Bring:
Experience:
- 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).
Technical Skills:
- 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.
Industry Knowledge:
- 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.
Soft Skills:
- 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.
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 "bridge" between our company and our payers, you will play a foundational role in ensuring our revenue cycle operations run smoothly as we grow.
Life at the Company:
- 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.
We need to exclude the equity pledge section.
Now map to headings:
- About the role: combine Mission, Values, Opportunity. Could be multiple paragraphs.
- Responsibilities: list from What You’ll Do.
- Requirements: maybe Experience.
- Qualifications: Technical Skills.
- Skills: Industry Knowledge + Soft Skills (maybe combine? Could split into two sections but we only have Skills heading; we could put both under Skills as list items.
- Benefits: Life at the Company (benefits, professional development, work-life balance, continuous improvement). Could list.
We should not include Pay or Schedule.
Now produce HTML fragment: start with maybe but not required. Just output the HTML.
We need to use
for each section heading. Inside each section, we can have
for prose and
- for lists.
For About the role, we have prose paragraphs (mission, values, opportunity). Could be multiple
elements. Let's craft:
About the role
Our Mission: Hospital-Quality Care, Everywhere. The healthcare industry still relies on faxes and phone tags to coordinate critical care for patients at home. We think patients and the clinicians who serve them deserve better than a system stuck in 1995. Verse Medical is building the modern software infrastructure to make it happen. We're a well-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-quality 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 direct. We operate with honesty and clarity. We share information openly, the good and the bad, and believe that direct, respectful feedback is the foundation of trust and progress. We value speed of iteration. We are building something new, which means we learn by doing. We prioritize rapid iteration and getting solutions into the hands of users, believing that progress is more valuable than perfection. We give 110% effort, 30% of the time. We are passionate about our mission, and there are moments that require us to go the extra mile. We believe in focused intensity when it counts, balanced by a sustainable pace that keeps our team energized for the long run. We empathize with customers to a fault. When our users face a problem, we own it. Instead of asking them to change, we ask ourselves, "How can we make this better?" We believe true innovation comes from deep empathy and a relentless focus on solving the real-world challenges of healthcare.
The Opportunity We are seeking a highly detail-oriented and technical RCM Enrollments Specialist to lead 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 owner of our EDI, EFT, and ERA enrollment lifecycle, ensuring that as we scale our network, our ability to verify eligibility, submit claims, and receive payments remains uninterrupted and optimized.
Then Responsibilities:Responsibilities
- Manage and execute the end-to-end enrollment process for
- for lists.
For About the role, we have prose paragraphs (mission, values, opportunity). Could be multiple