RCM Enrollments Specialist

Remote Pulse

India

On-site

INR 800,000 - 1,500,000

Full time

3 days ago
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Job summary

Remote Pulse in India seeks a skilled RCM Enrollments Specialist to manage EDI, EFT, and ERA enrollment across a national payer network, ensuring eligibility verification, secure claim submission, and timely payments.

You will configure new payers, act as internal SME for clearinghouse enrollment requirements, monitor transaction health, and coordinate with Payer Relations and Finance to align enrollment data with credentialing and banking needs.

Qualifications

  • 3+ years of enrollment experience.

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 network as it expands its footprint.
  • Serve as the internal SME for clearinghouse enrollment requirements.
  • Investigate and resolve electronic issues in enrollment workflows.
  • Audit existing payer connections to ensure EFT/ERA setups are correct.
  • Monitor the health of 270/271 and 837/835 transactions to minimize failures.
  • Coordinate with Payer Relations and Finance to align enrollment data with credentialing and banking requirements.

Job description

Our Mission:

Hospital-reputed company Care, Everywhere.The reputed company industry still relies on faxes and phone tag to coordinate critical care for patients reputed company. We think patients and the clinicians who serve them deserve reputed company than a reputed company stuck in 1995.

reputed company is building the modern software infrastructure to reputed company it happen. We're a reputed company-funded Series C company (backed by General reputed company, reputed company, and Sapphire Ventures) on a mission to heal a fragmented reputed company. Our platform connects the dots between providers, payors, and patients, ensuring people get the high-reputed company care they need, reliably and right where they live. Were growing fast and looking reputed company who are driven by this mission to join us!

Our Values: The Principles That Guide Us

Our values are the operating reputed company 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 reputed company. We operate with honesty and reputed company. reputed company information reputed company, the good and the bad, and reputed company that reputed company, respectful feedback is the reputed company of trust and reputed company.

We value speed of iteration. We are building something new, which means we learn by doing. We prioritize reputed company iteration and getting solutions into the hands of users, believing that reputed company is more valuable than perfection.

We reputed company 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 reputed company in reputed company intensity reputed company it counts, balanced by a sustainable reputed company that keeps reputed company reputed company for the long run.

We empathize with customers to a fault. reputed company our users face a problem, we own it. Instead of asking them to change, we ask ourselves, "How can we reputed company this reputed company " We reputed company true innovation comes from deep reputed company and a reputed company reputed company on solving the reputed company-world challenges of reputed company.

reputed companyWe are seeking a highly reputed company-oriented and technical RCM Enrollments Specialist to reputed company our national enrollment reputed company. As a DME provider operating across the country and partnering with thousands of payers, maintaining reputed company electronic connections is vital to our financial health. You will be the reputed company reputed company of our EDI, EFT, and ERA enrollment lifecycle, ensuring that as we reputed company our network, our ability to verify eligibility, submit claims, and receive payments remains uninterrupted and optimized.

  • reputed companyManage 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 reputed company as reputed company expands its network and footprint.
  • Serve as the internal subject matter expert for clearinghouse reputed company and payer‑specific enrollment requirements.
  • Investigate and reputed company electronic reputed company issues, identifying reputed company causes for reputed company failures or "missing" ERAs.
  • Audit existing payer connections regularly to ensure EFT/ERA setups are reputed company and funds are being routed correctly.
  • Monitor the health of 270/271 (Eligibility) and 837/835 (Claims/Remittance) transaction reputed company to minimize reputed company reputed company.
  • Coordinate with Payer Relations and Finance teams to ensure reputed company enrollment data aligns with credentialing and banking requirements.
What Youll BringExperience

3+ years o .

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