Insurance / Credentialing Executive

Company: MantraCare

Experience: 1+ year

Employment Type: Full-time

Location: Paschim Vihar

Work Mode: Onsite

Role Overview

We are looking for an Insurance & Credentialing Executive with hands-on experience in US healthcare provider enrollment and credentialing. The role will own end-to-end enrollment activities, payer follow-ups, documentation, and provider credentialing.

Key Responsibilities

• Manage end-to-end provider enrollment with Medicare, Medicaid, and commercial payers.
• Complete and submit credentialing/enrollment applications and required documentation.
• Work on CAQH, PECOS, NPPES, and payer portals.
• Track enrollment status, follow up with payers, and resolve pending issues.
• Maintain accurate provider credentialing and enrollment records.
• Coordinate with providers, payers, Billing, and RCM teams.
• Ensure compliance with payer-specific and regulatory requirements.
• Share regular updates on enrollment and credentialing status.

Requirements

• 1+ year of US healthcare provider credentialing/enrollment experience.
• Strong hands-on experience with CAQH, PECOS/NPPES, and payer portals.
• Good understanding of US payer enrollment workflows and timelines.
• Excellent attention to detail, follow-up, and organizational skills.
• Good written and spoken English.
• Comfortable with MS Excel/Word and provider trackers.
• Experience with Epic, AdvancedMD, athenahealth, Modio, MD-Staff, or Verity is a plus.
• Bachelor's degree is mandatory and must be completed.
• Immediate joiners or candidates with a short notice period preferred.

Mail at - [HIDDEN TEXT]

WhatsApp - [phone removed]

HR Monika

Thanks & Regards

Team

MantraCare