Provider Enrollment Specialist
About MantraComply
MantraComply is a healthcare technology and services company that helps healthcare organizations manage provider credentialing, licensing, payer enrollment, compliance and other healthcare operations. We combine technology, automation and healthcare expertise to simplify administrative processes and help providers complete credentialing and enrollment requirements efficiently.
Role Overview
We are looking for a Provider Enrollment Specialist to manage enrollment of healthcare providers with US insurance payers and government programs.
Key Responsibilities:
- Prepare and submit provider enrollment applications to commercial and government payers.
- Manage Medicare, Medicaid, and commercial payer enrollment processes.
- Maintain accurate provider demographics, tax information, NPI, practice locations, and other enrollment data.
- Coordinate with providers and practices to obtain required documents.Track applications from submission through approval.
- Follow up with payer enrollment departments on pending applications.
- Resolve application rejections, discrepancies, and requests for additional information.
- Maintain enrollment trackers and update internal systems.
- Support revalidation and re-enrollment activities.
- Ensure enrollment work meets turnaround-time and quality standards.
Requirements
- 1–4 years of experience in US provider enrollment or credentialing.
- Understanding of Medicare, Medicaid, commercial payer enrollment, NPI, and CAQH.
- Strong attention to detail.Excellent written and spoken English.
- Strong follow-up and organizational skills.Ability to manage multiple applications and deadlines.
