Full-Time
Credentialing Executive
Harmony United Psychiatric Care
Outpatient mental health care
No salary listed
Hyderabad, Telangana, India
In Person
Bachelor's
 Administrative & Executive Assistance (1) |
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- A minimum of 4-5 years of experience in healthcare credentialing or provider relations, preferably in the United States healthcare sector.
- A bachelor's degree in any field.
- Experience with insurance portals, Council for Affordable Quality Healthcare, 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 Health Insurance Portability and Accountability Act-compliant manner.
- Assist in enrolling 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.
- 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 Council for Affordable Quality Healthcare profiles for all providers, ensuring accuracy and compliance with industry standards.
- Oversee enrolling providers with Medicare, ensuring compliance with all relevant regulations and successful enrollment.
Harmony United Psychiatric Care is an outpatient mental healthcare provider operating clinics in Florida. The organization provides psychiatry, medication management, psychotherapy, psychological testing, and related behavioral health services. It serves children, adults, families, referring clinicians, payers, and communities seeking accessible mental healthcare. Its operating model centers on clinic and telehealth services supported by clinical scheduling, care coordination, billing, compliance, and administrative operations. Teams work across psychiatry, therapy, psychology, nursing, care coordination, billing, scheduling, and administration. Teams support coordinated daily delivery.
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