Autism Center of Excellence is a growing organization specializing in Applied Behavior Analysis (ABA) services across the United States. We are committed to delivering exceptional healthcare support services while maintaining the highest standards of operational excellence, compliance, and client satisfaction.
As part of our continued growth, we are looking for an experienced Process Associate – Authorization & Eligibility to join our Revenue Cycle Management (RCM) team and support our US healthcare operations.
Role Overview
We are seeking a detail-oriented and motivated Process Associate with 2–5 years of experience in Prior Authorization and Insurance Eligibility Verification within the US Healthcare Revenue Cycle Management (RCM) industry.
The ideal candidate should possess strong knowledge of insurance verification processes, payer guidelines, authorization requirements, benefits verification, and excellent communication skills to ensure timely approvals and seamless patient care.
Key ResponsibilitiesPrior Authorization
- Submit prior authorization requests to commercial and government insurance payers.
- Verify authorization requirements based on CPT, HCPCS, ICD-10, and payer-specific guidelines.
- Follow up with insurance companies to obtain timely authorization approvals.
- Maintain authorization records and ensure approvals are received before scheduled services.
- Coordinate with internal departments regarding authorization status and pending documentation.
- Escalate delayed or denied authorization requests to appropriate stakeholders.
Eligibility & Benefits Verification
- Verify patient insurance eligibility and coverage before scheduled appointments.
- Review patient perks, deductibles, copays, coinsurance, out-of-pocket expenses, and policy limitations.
- Identify primary and secondary insurance coverage.
- Verify provider participation (In-Network/Out-of-Network) with insurance plans.
- Ensure accurate documentati
📌 Process Associate – Authorization (Chandigarh)
🏢 Autism Center of Excellence
📍 Chandigarh
Reply to this offer
Impress this employer describing Your skills and abilities, fill out the form below and leave Your personal touch in the presentation letter.