Credentialing Team Leader RCM (US Healthcare)

NeolytixGurugram, HaryanaOn-siteFull-timeSenior, 5–8 yearsListed 1 month ago

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About this role

About Neolytix

Neolytix is a fast-growing, boutique consulting and management services organization supporting small and mid-sized healthcare providers across the United States. We specialize in niche healthcare micro-verticals, delivering high-impact, practical solutions that truly make a difference.

✨ Work with a company where your contributions create real impact
⭐ Rated 4.7 on Google & 4.2 on Glassdoor (80% approval)
 Trusted by clients for our straightforward, results-driven approach

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Why Join Neolytix?

At Neolytix, we believe in growth, balance, and collaboration:

- ✅ Hands-on exposure to US healthcare consulting
- ✅ Opportunities to strengthen leadership & consultative skills
- ✅ Work-life balance with a supportive culture
- ✅ Medical insurance coverage for family & dependents
- ✅ Retirement savings & life/disability insurance
- ✅ Work with global, diverse teams
- ✅ Employee clubs & engagement activities

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Role Overview

We are looking for an experienced Credentialing Team Leader to manage end-to-end provider credentialing and insurance contracting processes for US healthcare clients.

The ideal candidate will have deep expertise in US healthcare credentialing , strong leadership skills, and the ability to manage teams and client expectations effectively.

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Key Responsibilities

- Manage end-to-end credentialing & 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
- Lead and guide the credentialing team for quality and efficiency

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Key Skills & Competencies

- 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 & communication skills
- Strong attention to detail and organizational abilities
- Ability to prioritize tasks and meet deadlines
- Advanced proficiency in Excel, Word, and internet tools

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Experience Required

- ✅ Minimum 5-6 years of experience in end-to-end credentialing
- ✅ Prior experience in a lead or team handling role preferred

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Why This Role is Exciting

If you’re passionate about leading teams, improving processes, and working in the fast-evolving US healthcare ecosystem , this is your chance to make a meaningful impact while advancing your career.

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 Apply now and become a part of a high-impact, growth-driven team!