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Hiring companyneolytix
Verified today
Credentialing Team Leader RCM
Gurugram, Haryana Full-time
About the role
Neolytix is a boutique consulting and management services organization supporting small and mid-sized US healthcare providers. The Credentialing Team Leader will manage end-to-end provider credentialing and insurance contracting, oversee provider data in CAQH, PECOS, NPPES, and CMS databases, and lead the credentialing team for quality and efficiency. The role is based in Gurugram, Haryana.
What you’ll do
- Manage end-to-end credentialing and contracting for providers and groups
- Ensure providers maintain active status with Medicare, Medicaid, and commercial payers
- Oversee and update provider information in CAQH, PECOS, NPPES, CMS databases
- Handle initial credentialing, re-credentialing, and revalidation processes
- Maintain accurate provider records and internal trackers
- Coordinate with clients, physicians, and billing teams to resolve issues
- Track application progress and provide regular updates to clients
- Ensure compliance with payer requirements and deadlines
What you’ll bring
- Minimum 5-6 years of experience in end-to-end credentialing
- Strong knowledge of US provider credentialing and insurance contracting
- Hands-on experience with Medicare, Medicaid, and commercial payers
- Expertise in CAQH, PECOS, NPPES, CMS systems
- Excellent team management and communication skills
- Strong attention to detail and organizational abilities
- Ability to prioritize tasks and meet deadlines
- Advanced proficiency in Excel, Word, and internet tools
Nice to have
Prior experience in a lead or team handling role preferred
Skills
US provider credentialingInsurance contractingCAQHPECOSNPPESCMS systemsTeam managementAdvanced Excel
Benefits
- Medical insurance coverage for family and dependents
- Retirement savings and life/disability insurance
- Hands-on exposure to US healthcare consulting
- Opportunities to strengthen leadership and consultative skills