Credentialing Executive – US Healthcare | CAQH | Medicare
Job Title: Credentialing Executive (US Healthcare)
Location: Toli Chowki,Hyderabad, Telangana
Company: Harmony United Medsolutions Pvt. Ltd. (HUMS)
About Us
Harmony United Medsolutions Pvt. Ltd. (HUMS) is a leading Healthcare Management Company providing end-to-end services in Medical Billing, AR Management, and Credentialing.
With 9+ years of industry experience, we support Harmony United Psychiatric Care, a US-based healthcare organization. We are committed to delivering excellence and creating growth opportunities for our employees.
Position Overview
We are looking for an experienced Credentialing Executive with strong knowledge of US Healthcare Credentialing processes. The candidate will be responsible for provider enrollment, credentialing, and compliance with insurance companies and regulatory standards.
Key Responsibilities
- Handle provider credentialing and re-credentialing processes
- Assist in provider enrollment with insurance companies
- Collect, verify, and maintain provider documentation
- Follow up with insurance companies to track application status
- Maintain and update CAQH profiles
- Manage Medicare enrollment processes
- Ensure provider compliance with regulatory and payer requirements
- Monitor credentialing timelines and maintain accurate records
- Coordinate with internal teams for smooth provider onboarding
Eligibility Criteria
- Minimum 3–5 years of experience in US Healthcare Credentialing
- Bachelor’s degree in any discipline
- Hands-on experience with CAQH, Insurance Portals, and Medicare enrollment
- Good understanding of US provider credentialing workflows
- Strong communication and follow-up skills
- Ability to manage multiple tasks and meet deadlines
- Knowledge of HIPAA compliance preferred
Why Join HUMS?
⭐ 4 Days Work Week (Monday – Thursday)
⭐ Competitive Salary (EPF & PF benefits)
⭐ Health Insurance Coverage
⭐ Career Growth Opportunities
⭐ Food and Cab Drop Facilities
⭐ Professional and Supportive Work Environment
How to Apply
Interested candidates can share their updated resume to:
📧 [email protected]
📞 Note: Available to take calls between 4:45 PM to 3:45 AM IST (Monday–Thursday only)
Equal Opportunity Employer
Harmony United Medsolutions Pvt. Ltd. is an equal opportunity employer. We value diversity and are committed to creating an inclusive workplace for all employees.