Credentialing Executive (Telangana)

Credentialing Executive (Telangana)

08 Aug
|
Harmony United Medsolutions
|
Telangana

08 Aug

Harmony United Medsolutions

Telangana

Job Title Credentialing Executive Location Hyderabad Telangana Company Harmony United Medsolutions Pvt Ltd About Us Harmony United Medsolutions Pvt Ltd HUMS is a dynamic and creative company dedicated to revolutionizing the Healthcare Industry We at HUMS take pride in being a reliable partner as a Healthcare Management Company With nine years of experience we have perfected our end-to-end services in medical billing A R management and other essential healthcare facets We provide our services to Harmony United Psychiatric Care a US-based Healthcare Company We pride ourselves on our commitment to excellence creativity and pushing the boundaries of what s possible As we continue to grow we seek a talented candidate to join our team and contribute to our exciting projects Position Overview The Credentialing Executive will be responsible for managing the credentialing and re-credentialing processes for psychiatric care providers within our network The role will also focus on maintaining up-to-date provider documentation ensuring compliance with insurance companies and monitoring provider licensing This position requires a detail-oriented and proactive individual to ensure the smooth integration of providers into the insurance network and their continued compliance Responsibilities Assist in the enrollment of providers with insurance companies ensuring all required documentation is submitted timely and accurately Collect verify and maintain the necessary documentation for all providers ensuring compliance with regulatory standards and insurance requirements Proactively follow up with insurance companies to track the status of credentialing applications resolve issues and ensure providers are credentialed in a timely manner Coordinate and manage the re-credentialing process for existing providers ensuring timely submissions and compliance with insurance companies requirements Monitor and maintain CAQH Council for Affordable Quality Healthcare profiles for all providers ensuring accuracy and compliance with industry standards Oversee the process of enrolling providers with Medicare ensuring compliance with all relevant regulations and ensuring successful enrollment Requirements Minimum of 5 years of experience in healthcare credentialing or provider relations preferably in US healthcare sector Candidate must have a bachelor s degree in any field Experience with insurance portals CAQH and Medicare enrollment systems Excellent communication and interpersonal skills with the ability to build rapport and trust at all levels of the organization In-depth knowledge of credentialing processes insurance company contracting and regulatory requirements in the healthcare sector Strong organizational and time management skills with the ability to handle multiple tasks and deadlines Ability to maintain confidentiality and work with sensitive provider data in a HIPAA-compliant manner Diversity equality and inclusion Diversity equality and inclusion are fundamental to our success at HUMS We actively promote diversity across all aspects of our organization including but not limited to gender race ethnicity sexual orientation religion disability and age We strive to foster an inclusive culture where diverse perspectives are embraced and everyone has equal opportunities to grow contribute and succeed Benefits Competitive salary including EPF and PS Health insurance Four days workweek Monday - Thursday Opportunities for career growth and professional development Additional benefits like food and cab-drop are available Please submit your resume and cover letter detailing your relevant experience and why you fit this role perfectly We look forward to hearing from you In case of any queries please feel to reach out us at recruitment hupcfl com Note Available to take calls between 4 45 PM to 3 45 AM IST only from Monday to Thursday Job Types Full-time Permanent Pay 450 000 00 - 700 000 00 per year Advantages Food provided Health insurance Paid time off Provident Fund Work Location In person

📌 Credentialing Executive (Telangana)
🏢 Harmony United Medsolutions
📍 Telangana

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