Credentialing Specialist (New Delhi)

Credentialing Specialist (New Delhi)

13 Aug
|
MantraCare
|
New Delhi

13 Aug

MantraCare

New Delhi

Company: MantraCare
Location: Paschim Vihar West, New Delhi
Interested candidates can share their resume at [email protected] or WhatsaApp (phone hidden).

Key Responsibilities

● Enrollment Management: Complete and submit provider enrollment applications to Medicare, Medicaid, and commercial insurance carriers, ensuring accuracy and compliance with all required documentation.
● Credentialing Coordination: Assist in gathering necessary provider documentation for credentialing and re-credentialing processes with payers.
● Database Maintenance: Maintain and update provider enrollment records in internal systems, ensuring accuracy and timely tracking of payer updates and credentialing statuses.
● Payer Communication: Serve as the primary liaison between the healthcare provider and payer networks to resolve enrollment issues, delays, or requests for additional information.
● Compliance: Ensure that all enrollment and credentialing processes adhere to federal, state, and payer-specific regulations, with a particular focus on post-acute care.
● Provider Support:



Act as the point of contact for providers and administrative staff regarding enrollment status and credentialing inquiries.
● Follow-Up: Regularly follow up with payers to confirm enrollment status, address issues, and expedite the approval process.
● Reporting: Provide management with regular updates and reports on the status of provider enrollments, ensuring transparency and timely problem resolution.
● Team-oriented Efforts: Work closely with billing and revenue cycle teams to ensure providers are fully enrolled and credentialed to facilitate proper claims processing.

Skills & Experience

Must-Have

● Associate: minimum 1 year in US provider credentialing/enrollment with end-to-end enrollment ownership
● Hands-on experience with CAQH, PECOS/NPPES, and payer portals; strong understanding of enrollment workflows and timelines
● High attention to detail — credentialing errors are expensive and slow to unwind
Preferr

📌 Credentialing Specialist (New Delhi)
🏢 MantraCare
📍 New Delhi

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