NEOLYTIX

Credentialing Associate / Sr Associate

Provider Credentialing & Enrollment

US Healthcare LEVEL

Associate / Sr AssociateEXPERIENCE

1+ Yr / 3–4 YrsLOCATION

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

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.

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Credentialing/Provider Enrollment- Associate/ Sr. Associate