Associate / Sr Associate - Credentialing/Provider Enrollment

Neolytix; Gurugram District; On-site; INR 600,000 - 900,000; Full time

Job summary

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.

Qualifications

• Bachelor’s degree (any discipline) is mandatory.
• Strong English communication for payer follow-ups and client-facing notes.
• Onsite at Gurugram, night shift, 5 days a week.

Responsibilities

• Prepare, submit, and track provider enrollment applications with Medicare/Medicaid and commercial payers.
• Maintain CAQH profiles; manage PECOS, NPPES, and payer portals.
• Follow up with payers and resolve deficiencies quickly.
• Own end-to-end enrollment files for senior associates and coordinate re-credentialing calendars.

Skills

Attention to detail

English communication

Payer follow-ups

Education

Bachelor’s degree

Tools

CAQH

PECOS/NPPES

Payer portals

MS Office (Excel/Word)

Job description

SHIFT

NEOLYTIX

Credentialing Associate / Sr Associate

Provider Credentialing & Enrollment

• US Healthcare LEVEL

Associate / Sr AssociateEXPERIENCE

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

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.