Job description

Meds Nexus is looking for candidates on the night shift with experience as Team Lead Credentialing & EDI. The candidate should be enthusiastic and must have a proven work experience in performing all New Client Account Setups, Research and Development activities, ensuring that the credentialing requirements for government and commercial payers are met, Submit and follow-up on submitted credentialing requests to all contracted commercial payers and government agencies, maintain the close working relations experience will be preferred along with Basic IT skills (databases, MS Office, etc.)

Job Responsibilities:

3 to 5 years of experience in credentialing department

At least 1 year of experience in a Supervisory Role

Experience in credentialing different specialties with major regular and private payers state-wise

Review the approval and termination of professional provider contracts as they relate to the credentialing process

Ensure accurate and timely information for re-credentialing, data analysis, and directory generation, as well as recommending changes to the credentialing criteria and processes

Maintain all credentialing and re-credentialing policies and processes to ensure that they comply with all applicable regulations

Develop and implement departmental goals and objectives with input from staff members

Develop and implement departmental policies and procedures that guide and support the provision of services

Interact with all customers to ensure prompt and accurate communication as needed to provide the service expected and to meet the goals of the service.

Job Rewards and Benefits:

Paid Leaves

HR Bonus

Inflation Bonus

Promotion

Increments

Medical (TBD)

Employee Equity Funds Program (EEFP)

Saturday and Sunday Off

Complementary Food (Dinner) & Tea/Green Tea (Two times)

Job Location:

Office # 1st, 5th Floor, Gold Mark Plaza, Asghar Mall Rd, Asghar Mall Scheme, Rawalpindi, Punjab 46000

Job Timing:

05:30 PM To 02:30 AM

Special Note:

This job is not for fresh candidates.

Job Types: Contract, Full-time

Contract length: 36 month

Bachelor’s (Preferred)

Experience:

Credentialing & Enrollment + EDI: 5+ years (Preferred)

Language:

Fluent English (Preferred)

Job Type: Full-time

Pay: Rs100,000.00 – Rs150,000.00 per month

Ability to Relocate:

Rawalpindi: Relocate before starting work (Required)