Credentialing Specialist (India)

Credentialing Specialist (India)

05 Nov
|
MantraCare
|
India

05 Nov

MantraCare

India

Company: Mantra Care Department: Operations / Provider Management Employment Type: Full-Time Shift: Night shift (9pm
- 6am) Job OverviewWe are looking for a detail-oriented Credentialing Specialist responsible for managing the credentialing and enrollment process of healthcare professionals, including doctors, psychiatrists, psychologists, and therapists. The candidate will ensure timely provider enrollment, re-enrollment, verification, and maintenance of credentialing records across domestic and international markets.

Key Responsibilities
• Manage end-to-end provider credentialing and enrollment of doctors, psychiatrists, psychologists, and therapists.
• Handle initial enrollment, re-enrollment, re-credentialing, and provider revalidation processes.
• Collect, review, and verify provider documents, licenses, qualifications, certifications, and work experience.
• Coordinate with healthcare providers to obtain missing documents and complete credentialing applications.
• Maintain and update provider profiles, credentialing databases, and documentation.
• Track credentialing application status, approval timelines, renewals, and expiration dates.
• Ensure timely follow-ups with insurance companies, healthcare networks, hospitals, and relevant credentialing bodies.
• Monitor license renewals, malpractice insurance, certifications, and other compliance requirements.
• Identify discrepancies in provider documentation and ensure accurate record maintenance.
• Coordinate with internal HR, Operations,



and Provider Onboarding teams to ensure smooth provider activation.
• Maintain confidentiality and ensure compliance with applicable healthcare regulations and organizational policies. Required Qualifications & Skills
• Bachelor's degree in Healthcare Administration, Hospital Management, Business Administration, or a related field.
• 1–3 years of experience in credentialing, provider enrollment, healthcare operations, or medical administration.
• Knowledge of provider enrollment, re-enrollment, re-credentialing, and verification processes.
• Understanding of medical licenses, NPI, CAQH, DEA, and insurance credentialing processes (particularly for US healthcare, if applicable).
• Solid documentation, coordination, and follow-up skills.
• Proficiency in MS Excel, Google Sheets, and credentialing management systems.
• Excellent communication and attention to detail. Preferred Skills
• Experience working with US healthcare providers, insurance networks, and payer enrollment.
• Familiarity with Medicare, Medicaid, commercial insurance panels, and CAQH ProView.
• Experience managing credentialing for psychiatrists, psychologists, therapists, and other mental healthcare professionals. Key Competencies
• Strong organizational and time-management skills.
• Accuracy in documentation and data management.
• Ability to manage multiple provider applications and deadlines.
• Proactive follow-up and problem-solving abilities. Interested candidates can even drop their resumes on [email protected]/ (phone hidden)

📌 Credentialing Specialist (India)
🏢 MantraCare
📍 India

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