Order Management Associate – RCM x Ops Focus

Verse Medical, Inc.; Colombia; Hybrid; COP 143.335.000 - 238.892.000; Vollzeit

Zusammenfassung

Verse Medical, Inc. is building a remote Operations role that connects nurses, patients, insurers, and partners to ensure orders are processed accurately and on time. You’ll handle PA and RCM work, call partner companies to resolve issues, and keep clear, thorough documentation.

You’ll work with insurance details, escalation when needed, and communicate with clinicians through our provider portal. The role requires healthcare experience, strong English, and an operations mindset.

Qualifikationen

• Familiarity with DME and medical supplies.
• Experience in RCM, billing, or insurance verification.
• Clear, professional spoken English and confidence on the phone.
• Excellent written communication.
• High attention to detail and a high level of organization.
• An operations mindset: you work with urgency, prioritize well, and care about closing things out.
• Ability to work independently and manage your own time in a remote environment.
• Integrity, honesty, and transparency. These are at the core of how Ops works.
• Prior authorization experience.
• Healthcare background or call center / customer service experience.
• Inquisitive and intrinsically motivated.
• Comfortable with feedback and with changing workflows.

Aufgaben

• Process and manage orders, including insurance coverage details, documentation requirements, and stock shortages.
• Support prior authorization workflows by tracking requests and following up until they’re resolved.
• Call partner companies to confirm details, resolve issues, and unblock orders, and occasionally reach out to providers.
• Communicate with nurses and doctors through our provider portal.
• Spot order and billing issues that could cause denials or delays, and flag them early.
• Document every interaction and outcome clearly so teammates can pick up where you left off.
• Hit volume and accuracy targets while following set guidelines and escalating when something falls outside them.

Kenntnisse

DME knowledge

RCM billing

Fluent English

Written communication

Attention to detail

Operations mindset

Independent worker

Integrity & transparency

Prior authorization

Healthcare/call center

Curiosity

Adaptability

Jobbeschreibung

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.

About the Role

Operations is the connecting point between nurses, patients, insurance providers, and our distribution partners. We manage the logistics and coordination behind every order to make sure the right product reaches the right patient, accurately and on time. This role is a hybrid. Alongside core order processing, you’ll take on prior authorization (PA) and revenue cycle (RCM) work and spend time on the phone with our partner companies to resolve issues and keep orders moving. You’ll move between the system and the phone, so you need to be efficient in both.

Team: Operations
Location: Remote
Schedule: 8:00 AM to 5:00 PM ET, with occasional overtime opportunities

What You’ll Do

• Process and manage orders, including insurance coverage details, documentation requirements, and stock shortages

• Support prior authorization workflows by tracking requests and following up until they’re resolved

• Call partner companies to confirm details, resolve issues, and unblock orders, and occasionally reach out to providers

• Communicate with nurses and doctors through our provider portal

• Spot order and billing issues that could cause denials or delays, and flag them early

• Document every interaction and outcome clearly so teammates can pick up where you left off

Hit volume and accuracy targets while following set guidelines and escalating when something falls outside them

What We’re Looking For

Required

• Familiarity with DME and medical supplies

• Experience in RCM, billing, or insurance verification

• Clear, professional spoken English and confidence on the phone

• Excellent written communication

• High attention to detail and a high level of organization

• An operations mindset: you work with urgency, prioritize well, and care about closing things out

• Ability to work independently and manage your own time in a remote environment

• Integrity, honesty, and transparency. These are at the core of how Ops works.

• Prior authorization experience

• Healthcare background or call center / customer service experience

• Inquisitive and intrinsically motivated

• Comfortable with feedback and with changing workflows

Traits that do well here

• — If you’re working remotely, you'll feel comfortable with messages coming in at different times and be responsive. 90pm MT hours aren't a part of the job description

How We Work

• — If you’re working remotely, you'll feel comfortable with messages coming in at different times and be responsive. 90pm MT hours aren't a part of the job description

• What Success Looks Like

• You hit volume and quality targets consistently as you ramp up

• Your calls end in clear resolutions with clear documentation

• Issues get flagged early

• You ask questions early, take feedback well, and apply it

• Teammates can trust your notes and hand-offs

Our Pledge for an Equitable Future

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 [e-mail].