Credentialing Team Leader RCM (US Healthcare)

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! Powered by JazzHR