Verse Medical

Ensure surgical dressing orders comply with CMS regulations and MAC/UPIC policies by translating guidelines into operational checklists. Lead the ADR and appeals process while establishing QA controls for clinical completeness and billing correctness.

Lead national enrollment operations by managing the end-to-end lifecycle of EDI, EFT, and ERA connections for thousands of payers. Monitor transaction loops and resolve electronic connection issues to ensure uninterrupted financial operations.

Lead strategic partnerships and deals with health plan customers to secure multi-year contracts and drive long-term growth. Develop the payor partnerships playbook and represent the company at industry events.