Order Management Associate – RCM x Ops Focus

🔥 17 hours ago

🌐 Colombia, Philippines – Remote

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⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Operations

🚫👨‍🎓 No degree required

👻 Ghost score 25%

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Verse

11 - 50 employees

🏥 Healthcare

📦 Logistics

💼 Consulting

Healthcare • Logistics • Consulting

Verse is a company that provides in-home healthcare services for the 21st century, utilizing software that enables high-quality and reliable care at home. The company offers an easy-to-use software platform for clinics, allowing them to track all care referrals and orders efficiently. With coverage in all 50 states, Verse acts as an extension of clinics, saving nurses time and resources. They accept all insurances and focus on delivering a reliable patient experience. Their platform aims to streamline communication and logistics, eliminating the need for traditional methods such as fax and phone.

📋 Description

• Process and manage orders, including insurance coverage details, documentation requirements, and stock shortages • Support prior authorization workflows by tracking requests and following up until resolution • Call partner companies to confirm details, resolve issues, and unblock orders • Occasionally contact providers • Communicate with nurses and doctors through the provider portal • Identify order and billing issues that could cause denials or delays and flag them early • Document every interaction and outcome clearly • Meet volume and accuracy targets while following guidelines • Escalate issues that fall outside established guidelines • Apply feedback and adapt to changing workflows

🎯 Requirements

• 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 • Ability to work with urgency, prioritize well, and close tasks out • Ability to work independently and manage your own time in a remote environment • Integrity, honesty, and transparency • Prior authorization experience strongly preferred • Healthcare background or call center/customer service experience strongly preferred • Comfortable with feedback and changing workflows • Ability to work 8:00 AM to 5:00 PM ET • Must be based in Colombia or Manila

🏖️ Benefits

• Occasional overtime opportunities • 2–4 weeks of training • Remote work arrangement • Equal opportunity workplace • Accessible interview accommodations

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