Credentialing/Provider Enrollment- Associate/ Sr. Associate in Gurgaon, भारत

NEOLYTIX
Credentialing Associate / Sr Associate
Provider Credentialing & Enrollment · US Healthcare

  LEVEL
Associate / Sr Associate

EXPERIENCE
1+ Yr / 3–4 Yrs

 

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.

Additional (Sr Associate)

• 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.

Preferred

• 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.