Credentialing/Provider Enrollment- Associate/ Sr. Associate

Neolytix; Gurugram District; On-site; INR 550,000 - 850,000; Full time

Job summary

NEOLYTIX is hiring for Credentialing Associate / Sr Associate in Gurugram, onsite, night shift aligned with US hours. Roles involve managing US provider enrollment, CAQH, PECOS/NPPES, and payer portals, with end-to-end ownership for Senior Associates.

Two openings: Associate (1+ year) and Senior Associate (3-4 years). The team handles enrollment, re-credentialing, and payer escalations to ensure timely revenue for clients.

Qualifications

• 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.

Responsibilities

• 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.

Skills

CAQH

PECOS/NPPES

payer portals

enrollment workflows

attention to detail

English communication

Education

Bachelor's degree

Tools

Epic

AdvancedMD

athenahealth

MS Office (Excel/Word)

Modio

MD-Staff

Verity

Job description

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.

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

• 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.