{"id":4224,"date":"2024-05-03T13:03:04","date_gmt":"2024-05-03T13:03:04","guid":{"rendered":"https:\/\/medsnexus.com\/careers\/?post_type=job_listing&#038;p=4224"},"modified":"2024-05-07T16:28:04","modified_gmt":"2024-05-07T16:28:04","slug":"team-lead-credentialing-edi","status":"publish","type":"job_listing","link":"https:\/\/medsnexus.com\/careers\/job\/team-lead-credentialing-edi\/","title":{"rendered":"Credentialing &#038; Enrollment Team Lead"},"content":{"rendered":"<p>Job description<\/p>\n<p>Meds Nexus is looking for candidates on the night shift with experience as Team Lead Credentialing &amp; 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.)<\/p>\n<p><strong>Job Responsibilities:<\/strong><\/p>\n<p>3 to 5 years of experience in credentialing department<\/p>\n<p>At least 1 year of experience in a Supervisory Role<\/p>\n<p>Experience in credentialing different specialties with major regular and private payers state-wise<\/p>\n<p>Review the approval and termination of professional provider contracts as they relate to the credentialing process<\/p>\n<p>Ensure accurate and timely information for re-credentialing, data analysis, and directory generation, as well as recommending changes to the credentialing criteria and processes<\/p>\n<p>Maintain all credentialing and re-credentialing policies and processes to ensure that they comply with all applicable regulations<\/p>\n<p>Develop and implement departmental goals and objectives with input from staff members<\/p>\n<p>Develop and implement departmental policies and procedures that guide and support the provision of services<\/p>\n<p>&nbsp;<\/p>\n<p>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.<\/p>\n<p><strong>Job Rewards and Benefits:<\/strong><\/p>\n<p>Paid Leaves<\/p>\n<p>HR Bonus<\/p>\n<p>Inflation Bonus<\/p>\n<p>Promotion<\/p>\n<p>Increments<\/p>\n<p>Medical (TBD)<\/p>\n<p>Employee Equity Funds Program (EEFP)<\/p>\n<p>Saturday and Sunday Off<\/p>\n<p>Complementary Food (Dinner) &amp; Tea\/Green Tea (Two times)<\/p>\n<p><strong>Job Location:<\/strong><\/p>\n<p>Office # 1st, 5th Floor, Gold Mark Plaza, Asghar Mall Rd, Asghar Mall Scheme, Rawalpindi, Punjab 46000<\/p>\n<p><strong>Job Timing<\/strong>:<\/p>\n<p>05:30 PM To 02:30 AM<\/p>\n<p>Special Note:<\/p>\n<p>This job is not for fresh candidates.<\/p>\n<p><strong>Job Types: Contract, Full-time<\/strong><\/p>\n<p>Contract length: 36 month<\/p>\n<p>Bachelor&#8217;s (Preferred)<\/p>\n<p><strong>Experience:<\/strong><\/p>\n<p>Credentialing &amp; Enrollment + EDI: 5+ years (Preferred)<\/p>\n<p><strong>Language:<\/strong><\/p>\n<p>Fluent English (Preferred)<\/p>\n<p><strong>Job Type: Full-time<\/strong><\/p>\n<p><strong>Pay:<\/strong> Rs100,000.00 &#8211; Rs150,000.00 per month<\/p>\n<p><strong>Ability to Relocate<\/strong>:<\/p>\n<p><strong>Rawalpindi:<\/strong> Relocate before starting work (Required)<\/p>\n","protected":false},"author":1,"featured_media":1072,"template":"","meta":{"nf_dc_page":"","inline_featured_image":false,"_job_location":"Office # 1st, 5th Floor, Gold Mark Plaza, Asghar Mall Rd, Asghar Mall Scheme, Rawalpindi, Punjab 46000","_application":"admin@medsnexus.com","_company_name":"Medsnexus","_company_website":"https:\/\/medsnexus.com\/","_company_tagline":"","_company_twitter":"","_company_video":"","_filled":0,"_featured":1,"_remote_position":0,"_job_salary_currency":"","_job_salary_unit":""},"job-categories":[103],"job-types":[16],"job_listing_region":[95],"job_listing_tag":[],"acf":[],"_links":{"self":[{"href":"https:\/\/medsnexus.com\/careers\/wp-json\/wp\/v2\/job-listings\/4224"}],"collection":[{"href":"https:\/\/medsnexus.com\/careers\/wp-json\/wp\/v2\/job-listings"}],"about":[{"href":"https:\/\/medsnexus.com\/careers\/wp-json\/wp\/v2\/types\/job_listing"}],"author":[{"embeddable":true,"href":"https:\/\/medsnexus.com\/careers\/wp-json\/wp\/v2\/users\/1"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsnexus.com\/careers\/wp-json\/wp\/v2\/media\/1072"}],"wp:attachment":[{"href":"https:\/\/medsnexus.com\/careers\/wp-json\/wp\/v2\/media?parent=4224"}],"wp:term":[{"taxonomy":"job_listing_category","embeddable":true,"href":"https:\/\/medsnexus.com\/careers\/wp-json\/wp\/v2\/job-categories?post=4224"},{"taxonomy":"job_listing_type","embeddable":true,"href":"https:\/\/medsnexus.com\/careers\/wp-json\/wp\/v2\/job-types?post=4224"},{"taxonomy":"job_listing_region","embeddable":true,"href":"https:\/\/medsnexus.com\/careers\/wp-json\/wp\/v2\/job_listing_region?post=4224"},{"taxonomy":"job_listing_tag","embeddable":true,"href":"https:\/\/medsnexus.com\/careers\/wp-json\/wp\/v2\/job_listing_tag?post=4224"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}