Job Title:Senior Executive - Provider Credentialing

Location: Hyderabad, Telangana

Company: Harmony United Medsolutions Pvt. Ltd.

About Us:
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.
- 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 3-4 years of experience in healthcare credentialing or provider relations, preferably in US healthcare sector.
- 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.
- Robust organizational and time management skills, with the ability to handle multiple tasks and

📌 Senior Executive (Hyderabad)
🏢 Harmony United Psychiatric Care
📍 Hyderabad