Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Medicare Credential Manager Credential Manager Network Administration Regulatory Compliance Enrollment Management Stakeholder Communications Client Services Operational Efficiency

Other Skills

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Communication
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Teamwork
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Organizational Skills
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Detail Oriented
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Problem Solving

Roles & Responsibilities

1-5 years of experience in healthcare credentialing
Proficiency with CAQH, PECOS, and other credentialing platforms
Strong understanding of Medicare, Medicaid, and commercial payer compliance
Detail-oriented, highly organized with ability to manage credentialing and enrollment processes

Requirements:

Manage provider credentialing and enrollment processes to ensure timely onboarding and network participation
Ensure regulatory compliance across credentialing activities with Medicare, Medicaid, and commercial payers
Collaborate with healthcare providers, payers, and internal RCM teams to minimize credentialing-related claim denials
Maintain up-to-date enrollment status in payer portals and credentialing databases (e.g., CAQH, PECOS)

Neolytix LLC

Health Care

About Neolytix LLC

Neolytix is a Management Service Organization (MSO) serving healthcare provider organizations. We use technology & data enabled solutions through an evolving, product centric approach to provide a range of end to end professional services. Our services focus on Patient & Provider Journeys as we build automated solutions in Revenue Cycle Management, Credentialing, CVO, Medical Virtual Assistants, Patient Access Services, Digital Marketing and Digital Health with guaranteed impact on the overall bottom line. That means better service for a lower cost. #MedicalBilling #RPM #MSO #medicalbilling #remotepatientmonitoring #valuebasedcare #revenuecyclemanagement #Healthcareproviders #digitalhealth #Patientaccess

Industry: Health Care

Founded: 2018

Company size: 201 - 500

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Job description

Join Our Team as a Credentialing & Provider Enrollment Specialist!

Are you an experienced professional in provider credentialing and payer enrollment? Do you have a strong understanding of Medicare, Medicaid, and commercial payer compliance? We are looking for a detail-oriented and organized Credentialing & Provider Enrollment Specialist to join our Revenue Cycle Management (RCM) team.

In this role, you will be responsible for managing provider credentialing, enrollment processes, and regulatory compliance to ensure timely onboarding and reimbursement. You will work closely with healthcare providers, payers, and internal teams to minimize credentialing-related claim denials and maintain network participation.

If you have 1-5 years of experience in healthcare credentialing, proficiency in CAQH, PECOS, and other credentialing platforms, and a passion for ensuring compliance and efficiency, we’d love to hear from you!

🚀 Why Join Us?
✔ Be part of a dynamic team ensuring compliance and efficiency in healthcare operations.
✔ Work remotely with a company that values accuracy, compliance, and operational excellence.
✔ Opportunity to collaborate with key stakeholders in Revenue Cycle Management (RCM).

Location: Remote (Gurugram, India)
Department: Revenue Cycle Management (RCM)