Credentialing- Associate

Summary

Processes healthcare provider credentialing and enrollment for insurance payers, verifying qualifications and maintaining compliance with payer and regulatory requirements.

Neolytix is a healthcare-focused management services organization providing innovative solutions in Revenue Cycle Management, Credentialing, Medical Billing, Patient Access, Healthcare IT, and Practice Growth. With a strong commitment to operational excellence and technology-driven innovation, Neolytix empowers healthcare providers to improve efficiency, optimize revenue, and enhance patient care.

Location: Gurugram (Onsite)
Experience: 2-4 Years
Shift: 6:00 PM - 3:00 AM
Working Days: 5 Days a Week

Key Responsibilities

  • Manage end-to-end provider credentialing and re-credentialing processes.
  • Complete and submit provider enrollment applications with insurance payers.
  • Track application statuses and follow up with payers to ensure timely approvals.
  • Maintain accurate provider records and credentialing documentation.
  • Verify provider qualifications, licenses, certifications, and work history.
  • Ensure compliance with payer, regulatory, and organizational requirements.
  • Resolve credentialing-related issues and collaborate with internal stakeholders.
  • Maintain CAQH profiles and update provider information as required.
  • Generate reports and provide regular status updates on credentialing activities.

Required Skills & Qualifications

  • 2-4 years of experience in US Healthcare Credentialing.
  • Strong knowledge of provider enrollment, credentialing, and re-credentialing processes.
  • Hands-on experience with CAQH, NPI, PECOS, and payer portals.
  • Excellent communication, organizational, and follow-up skills.
  • Strong attention to detail and ability to manage multiple priorities.
  • Proficiency in MS Office and credentialing management tools.

Why Join Neolytix?

✅ Attractive Salary Hike
✅ Health Insurance Coverage
✅ Complimentary Meals
✅ Fixed Day Shift (6 AM - 3 PM)
✅ 5 Days Working
✅ Excellent Growth Opportunities