Provider Credentialing Specialist (New Delhi)

Provider Credentialing Specialist (New Delhi)

13 Oct
|
MantraCare
|
New Delhi

13 Oct

MantraCare

New Delhi

Job Title: Provider Credentialing Specialist
Company: MantraCare
Employment Type: Full time
Work Location: Paschim Vihar West, New Delhi
Shift: Night Shift (6PM-3AM)
About MantraCareMantraCare Health Pvt. Ltd. is a global healthcare and corporate wellness organization providing Employee Assistance Programs (EAP), mental health solutions, chronic disease management, and holistic wellness services to corporate and individual clients across India and internationally.
We are looking for a detail-oriented and experienced Credentialing Specialist to manage US healthcare provider enrollment and credentialing processes. The ideal candidate should have hands-on experience with US insurance payer enrollment, credentialing platforms, and provider databases, along with the flexibility to work night shifts aligned with US business hours.
Key Responsibilities• Provider Enrollment: Complete and submit provider enrollment applications to Medicare, Medicaid, and commercial insurance carriers, ensuring accuracy and compliance with documentation requirements.
• Credentialing Coordination: Collect,



verify, and organize provider documentation for initial credentialing and re-credentialing processes.
• Database Management: Maintain and update provider enrollment records, internal trackers, and credentialing statuses to ensure accurate documentation and timely follow-ups.
• Payer Communication: Coordinate with insurance payers and provider networks to resolve enrollment issues, delays, and requests for additional information.
• Compliance: Ensure all enrollment and credentialing activities comply with federal, state, and payer-specific regulations, particularly those applicable to post-acute care.
• Provider Support: Act as a point of contact for healthcare providers and administrative teams regarding enrollment progress and credentialing-related queries.
• Regular Follow-ups: Follow up with insurance payers to track application progress, resolve pending issues, and expedite approvals.
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📌 Provider Credentialing Specialist (New Delhi)
🏢 MantraCare
📍 New Delhi

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