Associate / Sr Associate - Credentialing/Provider Enrollment

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.

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.