Autism Center of Excellence is a growing organization specializing in Applied Behavior Analysis (ABA) services across the United States. We are committed to delivering high-quality healthcare support services while maintaining excellence in compliance, operational efficiency, and client satisfaction.
We are currently looking for an experienced Process Associate - Credentialing & Medical Billing to join our Revenue Cycle Management (RCM) team and support our US healthcare operations.
Role Overview
We are seeking a detail-oriented qualified with 2-3 years of experience in Provider Credentialing, Enrollment, and Medical Billing within the US Healthcare Revenue Cycle Management (RCM) industry.
Key Responsibilities Provider Credentialing & Enrollment
- Manage end-to-end provider credentialing and re-credentialing processes.
- Maintain CAQH profiles and ensure all provider information remains accurate and up to date.
- Coordinate with providers to obtain required documentation, licenses, certifications, malpractice insurance, and other credentialing documents.
- Monitor license expirations and credential renewals to ensure uninterrupted provider participation.
Medical Billing
- Prepare and submit accurate electronic and paper claims to insurance companies.
- Review claims for billing accuracy before submission.
- Ensure claims are submitted according to payer-specific billing guidelines.
- Work with internal teams to resolve claim submission issues.
- Assist in claim corrections and resubmissions whenever necessary.
Insurance Follow-up
- Follow up with insurance companies regarding claim status, enrollment updates, and billing inquiries.
- Resolve billing rejections and enrollment-related issues.
- Maintain documentation of payer communications and resolutions.
Documentation & Compliance
- Ensure compliance with HIPAA regulations and company policies.
- Maintain accurate credentialing records and billing documentation.
- Update internal databases and p
📌 Process Associate (Chandigarh)
🏢 Autism Center of Excellence
📍 Chandigarh
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