What are the responsibilities and job description for the Credentialing Team Leader RCM (US Healthcare) position at Neolytix?
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
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
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.
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
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
Experience Required
- ✅ Minimum 5-6 years of experience in end-to-end credentialing
- ✅ Prior experience in a lead or team handling role preferred
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.
🚀 Apply now and become a part of a high-impact, growth-driven team!