Job description
Position: Senior Credentialing Specialist
Company: Meds Nexus Pvt Ltd
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
Job Type: Night Shift
Experience Required: 2-3 years
Special Note: This job is not for fresh candidates.
About Us:
Meds Nexus is a leading medical billing company based in Rawalpindi, dedicated to streamlining healthcare financial processes. We are actively seeking a detail-oriented and motivated individual to join our Credentialing team as a Senior Credentialing Specialist.
Key Responsibilities
- Accurately complete credentialing and reappointment applications for Outpatient and ABA providers.
- Track progress of applications and report to Client Managers/Team Leaders.
- Monitor and update provider portals for accurate information.
- Maintain current provider records electronically and in hard copy folders.
- Assist in obtaining required documentation from providers.
- Prepare professional communication to providers, payers, and facilities.
- Understand the impact of credentialing on billing, contracts, and EDI.
- Investigate and determine solutions to problems.
- Communicate clearly and professionally with team members, payers, and credentialing representatives.
- Process ERA & EFT applications.
- Have brief knowledge of Government, MCOs, and commercial insurance enrollments.
Job Rewards and Benefits:
- Paid Leaves
- HR Bonus
- Loan Policy
- Advance Salary
- Yearly Loyalty Rewards
- Leave Encashment
- Inflation Bonus
- Promotion
- Increments
- Medical (TBD)
- Employee Equity Funds Program (EEFP)
- Saturday and Sunday Off
- Complementary Food (Dinner) & Tea/Green Tea (Two times)
Ready to join our team?
Reach out and tell us how you'd like to contribute to Meds Nexus.