Job Title : Assistant Manager EDI Enrollment & Credentialing Department : Medica Billing Location : Remote / India [Currently work from Home] Reports To : Manager Experience : 15 years Shift Time : 5:30 Pm to 2:30 Am IST Company Website : https://www.modulemd.com Welcome to ModuleMD At ModuleMD, we specialize in cloud-based EHR and Practice Management solutions for specialty healthcare providers. We’re on a mission to revolutionize revenue cycle management through AI, and we’re looking for innovators who are ready to help us shape the future. Our Culture & Values "We foster a culture of inclusivity, innovation, and integrity. Our team values collaboration, continuous improvement, and a passion for excellence." Profile Overview We are seeking a detail-oriented and proactive client-focused Assistant Manager – EDI Enrollment & Credentialing to join our team to oversee the enrollment of healthcare providers in TriZetto’s electronic transaction services, including EDI claims, ERA, and RTE. The role involves guiding clients through the end-to-end enrollment process, ensuring compliance, accuracy, and seamless onboarding while collaborating with internal and external stakeholders and also to ensure efficient and accurate enrollment processes, leveraging TriZetto’s STEM portal and other tools to streamline revenue cycle management and enhance client satisfaction. Role Purpose: What You’ll Be Doing Client Onboarding : Guide doctors and medical practices through the enrollment process for TriZetto’s electronic transaction services, including EDI claims, ERA, and RTE. Payer Verification : Utilize TriZetto’s Gateway EDI Payer List to verify payer availability for requested services and confirm enrollment requirements. STEM Portal Management : Assist clients in submitting enrollment requests through TriZetto’s STEM portal, ensuring accurate data entry and timely submission of required documentation. Documentation Coordination : Collect, verify, and submit necessary documentation for payer enrollments, following up on requests and maintaining real-time status updates in the STEM portal. Client Support : Provide technical assistance and training to clients on navigating TriZetto’s systems, addressing inquiries about enrollment processes, payer requirements, and transaction setup. Compliance and Accuracy : Ensure all enrollments comply with payer-specific requirements and TriZetto’s standards to prevent delays in claims processing or payment. Collaboration : Work closely with internal teams (e.g., billing, IT, and customer support) and external stakeholders (e.g., payers and clearinghouses) to resolve enrollment issues and optimize workflows. Process Improvement : Identify opportunities to streamline onboarding processes, reduce enrollment timelines, and enhance client experiences based on feedback and industry best practices. Reporting : Maintain accurate records of enrollment statuses, generate reports on onboarding progress, and provide updates to management and clients as needed. Must-Have Skills: 4-6 years of experience in healthcare provider enrollment, credentialing, or EDI/ERA/claims onboarding (experience with TriZetto is highly preferred) Strong understanding of payer enrollment requirements and healthcare transaction standards. Proficiency in working with TriZetto systems, particularly the STEM portal. Hands-on experience with TriZetto’s platforms (e.g., STEM portal, Facets, or QNXT) or similar clearinghouse systems (e.g., Waystar, Availity) is highly preferred. Familiarity with payer enrollment processes and electronic transaction setups (EDI, ERA, RTE). Experience with Medicare credentialing and PECOS (Provider Enrollment, Chain, and Ownership System). Knowledge of healthcare compliance standards, including HIPAA and payer-specific regulations. Prior experience in a client-facing role, providing training or technical support. Nice-to-Have Certifications : Certifications : Certified Patient Account Representative (CPAR) or similar credentials are a plus. Technical Knowledge : Familiarity with TriZetto’s payer list, enrollment portals, and integration with practice management systems. Required Qualifications Education : Bachelor’s degree in healthcare administration, business, or a related field preferred; high school diploma or equivalent required. Strong understanding of healthcare payer systems and electronic transaction workflows. Excellent communication and interpersonal skills to interact with clients and payers. Proficiency in Microsoft Office (Excel, Word, Outlook) and EHR/EMR systems. Detail-oriented with strong organizational and problem-solving skills. Ability to multitask in a fast-paced environment and meet deadlines. Why Join ModuleMD? You’ll work at the intersection of AI and healthcare—real-world impact every day. Opportunity to work on cutting-edge healthcare technology and onboarding processes. Join a tight-knit, mission-driven team that values curiosity, autonomy, and innovation. Flexible work environment and a culture of continuous learning. Application Process : "Our hiring process includes an initial screening, a technical assessment, and a final interview with the team. We aim to keep the process transparent and timely." Equal Opportunity Statement : " We are an equal opportunity employer and value diversity at all levels. Discrimination has no place here—we welcome talent from all walks of life”. Ready to Join the Future of Healthcare AI? Apply now with your GitHub/portfolio link and CV.
Job Title : Business Development Associate Department : Sales Location : Remote / India [Currently work from Home] Reports To : BDR Manager Experience : 4+ Years Shift Time : 6:30pm 03:30 am IST ( Depending on Day-Light Savings ) Company Website : https://www.modulemd.com Welcome to ModuleMD At ModuleMD, we specialize in cloud-based EHR and Practice Management solutions for specialty healthcare providers. As we integrate AI into every aspect of our business, we are shaping the future of revenue cycle management. If you're a Business Development Associate who’s passionate about exploring more in US Sales, we’d love to hear from you. Our Culture & Values "We foster a culture of inclusivity, innovation, and integrity. Our team thrives on collaboration, continuous learning, and a passion for making healthcare smarter through technology. Role Overview At At ModuleMD, the Business Development Associate helps grow our business in the U.S. healthcare market. Your main job will be to find and connect with potential clients like clinics, specialty practices, physician groups, and healthcare networks who can benefit from our EHR, Practice Management, and Billing software. This is a sales-driven role where you’ll focus on cold calling, lead generation, follow-ups, running email campaigns, and booking discovery calls and demos for the sales team. You’ll need to be consistent with your outreach and focused on meeting targets. You’ll also do market research, find and qualify leads, and work closely with the sales and marketing teams to convert leads into long-term clients. We’re looking for someone who is a self-starter, confident in speaking and writing in English, understands U.S. healthcare systems, and can represent ModuleMD as a trusted partner. This role will require working night shifts (IST) to support U.S. customers and prospects. Role Purpose: What You’ll Be Doing Key Responsibilities: What Makes You A Fit Generate new leads through online research, market segmentation, and prospecting platforms Book and schedule discovery calls and product demos for the sales team with qualified prospects Follow up consistently on all leads and inquiries to move them towards discovery calls and demos Keep CRM (HubSpot/Salesforce) updated with all lead and opportunity data Understand and explain basic U.S. healthcare workflows including EHR, Practice Management, and Billing systems to prospects Achieve your monthly call, meeting, and pipeline generation targets Collaborate with the sales manager for lead handoffs and campaigns Must-Have Skills: 4+ years of U.S. sales experience (healthcare sales preferred) Cold Calling Focus: Comfortable making 60+ outbound calls daily as part of your routine Proven Sales Record: Must have experience meeting sales targets and booking qualified leads Excellent Communication Skills - Strong spoken and written English with neutral or minimal accent Clear, professional phone manner and strong email writing skills are essential Basic Understanding of U.S. Healthcare Market: Familiarity with clinics, specialty practices, EHR systems, practice management software, and U.S. billing workflows Hands-on CRM Experience: Salesforce, HubSpot, or similar Proficiency in Microsoft Office Tools: Outlook, Excel, PowerPoint, OneNote Comfortable Using Tools Like : Definitive Healthcare , SharePoint, Microsoft Teams, Zoom, and Dialpad (or equivalent softphone tools) Work Requirements: Must be comfortable working night shifts (IST) to support U.S. daytime operations High-speed internet and a quiet home office setup are mandatory Self-Motivated and Organized: Ability to manage your day-to-day activities independently Bachelor’s Degree Required Work Schedule & Holiday Policy Monday to Friday, Night Shifts based on Day light savings You will observe U.S. national holidays, not Indian public holidays You will be working on Indian national holidays as your role supports U.S. business operations Why Join ModuleMD Be part of a company that merges AI and healthcare for real-world impact. Work on meaningful products that improve medical efficiency and patient outcomes. Enjoy a flexible, remote work environment with a culture of continuous learning. Collaborate with a close-knit team that values autonomy, creativity, and results. Application Process : "Our hiring process includes an initial screening, a technical assessment [If required], and a final interview with the team. We aim to keep the process transparent and timely." Equal Opportunity Statement : " We are an equal opportunity employer and value diversity at all levels. Discrimination has no place here—we welcome talent from all walks of life”. Ready to Join the Future of Healthcare AI? Apply now with your CV.