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Verse Medical is a Series C healthtech company (backed by General Catalyst, SignalFire, and Sapphire Ventures) building modern software infrastructure to coordinate care between providers, payors, and patients. The company is transforming how clinicians and patients access high-quality care at home, replacing outdated fax-based systems with a connected platform.
You will serve as a Credentialing Specialist, leading the credentialing and onboarding of Verse's DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) supplier partners. This is a high-volume, time-sensitive role where accuracy and attention to detail directly impact the company's ability to activate partners and maintain regulatory compliance.
Key responsibilities include:
**Partner Intake & Verification:** Intake and verify partner credentials including Medicare PTAN status, NPI, CMS-approved accreditation by product category, certificates of insurance, surety bonds, state licenses, Medicare opt-out status, and CMS Preclusion List presence. Screen each partner and its owners, officers, and directors against exclusion lists at onboarding and monthly thereafter. Confirm and track partner insurance details and renewal/lapse dates.
**Knowledge Management:** Create, maintain, and improve knowledge management systems and standard operating procedures in Salesforce and Google Drive to support ongoing compliance operations.
**Ongoing Compliance Operations:** Monitor credentials, licenses, accreditation, and insurance for upcoming expirations and follow up with partners for updated documentation before expiration. Track and escalate partner-reported events such as exclusions, license or accreditation actions, litigation, bankruptcy, or ownership changes, recommending suspension or termination when warranted. Collect quarterly directory attestations and update Salesforce with changes to service area, location, or ownership. Collect annual compliance attestations (code of conduct, general compliance training, staff roster). Coordinate with the partner support team to activate and deactivate partners as needed.
The ideal candidate brings a detail-oriented, zero-defect mindset with exceptional organizational skills and excellent written and verbal communication. You are adaptable, receptive to feedback, and capable of managing multiple priorities simultaneously.
**Requirements:**
- 2+ years of experience in DME credentialing at a DME supplier, health plan, or TPA
- Zero defect mindset with exceptional attention to detail and organizational skills
- Excellent written and verbal communication
- Adaptable and willing to take feedback
- Ability to manage multiple priorities simultaneously
- Salesforce experience preferred
