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).
- Strong 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 (Delhi)
🏢 MantraCare
📍 Delhi