Neolytix·14 days ago
14 days ago
Credentialing/Provider Enrollment- Associate/ Sr. Associate
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About this role
| NEOLYTIX Credentialing Associate / Sr Associate Provider Credentialing & Enrollment · US Healthcare |
| LEVEL Associate / Sr Associate | EXPERIENCE 1+ Yr / 3–4 Yrs | LOCATION Gurugram (Onsite) | SHIFT Night (US Hours) |
| Two openings, one team — Associate requires a minimum of 1 year in US provider credentialing/enrollment; Senior Associate requires 3–4 years including payer-enrollment ownership. |
About the Role
Neolytix runs credentialing and enrollment for US provider organizations — getting physicians and facilities enrolled with payers accurately and fast, because every stalled application is delayed revenue for the client.Associates manage application preparation, submissions, and follow-up. Senior Associates own end-to-end enrollment files, payer escalations, and re-credentialing calendars.
Key Responsibilities
Core (Associate & Sr Associate)- Prepare, submit, and track provider enrollment applications with commercial and government payers (Medicare/Medicaid, commercial plans).
- Maintain and attest CAQH profiles; manage PECOS, NPPES, and payer portals.
- Follow up with payers on application status and resolve deficiencies quickly and accurately.
- Maintain accurate trackers — effective dates, expirables (licenses, DEA, malpractice), and re-credentialing timelines.
- Handle provider and client data with strict confidentiality and HIPAA compliance.
- Own complete enrollment files end-to-end for assigned clients, including complex group/facility enrollments and payer escalations.
- Run the re-credentialing and expirables calendar so nothing lapses.
- Review associates’ submissions for accuracy and coach on payer-specific requirements.
Skills & Experience
Must-Have- Associate: minimum 1 year in US provider credentialing/enrollment. Sr Associate: 3–4 years with end-to-end enrollment ownership.
- Hands-on experience with CAQH, PECOS/NPPES, and payer portals; strong understanding of enrollment workflows and timelines.
- High attention to detail — credentialing errors are expensive and slow to unwind.
- Experience on practice-management / EHR platforms — Epic, AdvancedMD, or athenahealth preferred; similar platforms considered.
- Experience with credentialing software (Modio, MD-Staff, Verity, or similar).
Eligibility Criteria
- Education: Bachelor’s degree (any discipline) is mandatory and must be completed — candidates currently pursuing a degree, or with an incomplete/dropped graduation, are not eligible.
- Communication: Moderate-to-strong — good spoken and written English for payer follow-ups and professional, client-facing emails and notes. Accuracy in writing matters as much as speed.
- Work mode & shift: Onsite at Gurugram, 5 days a week, on a fixed night (US-hours) shift — reliable attendance, punctuality, and roster adherence are essential.
- Systems: Comfortable with payer portals, CAQH / PECOS / NPPES, tracker maintenance, and MS Office (Excel/Word).
- Notice period: Immediate joiners or candidates on short notice strongly preferred.
Performance Expectations
You will be measured on clear, role-specific metrics:- Applications prepared/submitted and processed per period.
- First-pass approval rate and enrollment turnaround time (TAT).
- Zero lapses on expirables and re-credentialing dates.
- Accuracy / rework rate on submissions.
Hiring Process
- HR Screening
- 2 Technical Interviews
- Assessment Round
- HR discussion (fitment, shift, notice).
Why Join Neolytix
| US Healthcare Depth Live US provider accounts across 270+ client organizations — real RCM, not a training bench. | Clear Growth Path Associate → Sr Associate → QA / TL → AM: progression tied to performance. |
| Multi-Platform Exposure Hands-on across Epic, AdvancedMD, athenahealth, and more — skills that travel. | Stable, Growing MSO A fast-growing US-headquartered organization with centres in Chicago, Gurugram, and Manila. |
Company
Neolytix
Delhi NCR, India
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