Insurance Portal Coordinator

2 days ago


India Harris Computer Full time

Business Unit Resolv was formed in 2022 bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise including Ultimate Billing First Pacific Corporation Innovative Healthcare Systems and Innovative Medical Management Our DNA is rooted in revenue cycle solutions As we continue to expand we remain dedicated to partnering with RCM companies that offer diverse solutions and address today s most pressing healthcare reimbursement and revenue cycle operations complexities Together we improve financial performance and patient experience helping to build sustainable healthcare businesses Job Summary As a Insurance Portal Coordinator regularly monitor insurance payer portals to ensure accessibility and functionality Troubleshoot and resolve any issues related to the portal including login problems claim submission errors or downtime Coordinate with IT teams or payer representatives to resolve technical issues or platform malfunctions Work Mode Remote Shift Timings 6pm-3am Night Shift Location Mumbai Vikhroli Responsibilities Payer Portal Monitoring and Maintenance Regularly monitor insurance payer portals to ensure accessibility and functionality Troubleshoot and resolve any issues related to the portal including login problems claim submission errors or downtime Coordinate with IT teams or payer representatives to resolve technical issues or platform malfunctions Creating new insurance portal logins- for claim status EOBs enrollement etc Mandatory Qualifications Skills Graduate in Any Field Basic RCM knowledge AR experience of 1-2 years Skills Strong understanding of healthcare insurance plans Medicare Medicaid Commercial payers Proficient with payer portals such as Availity NaviNet Trizetto etc Attention to detail with the ability to manage multiple claims and prioritize tasks effectively Excellent written and verbal communication skills Ability to troubleshoot and resolve issues related to claims submission or portal functionality Skills Behavioural Skills Problem-Solver Identifies and resolves healthcare billing discrepancies Organized Manages high volumes of medical remittances efficiently Clear Communicator Effectively discusses payment issues with healthcare teams Analytical Understands healthcare financial data and denial patterns Benefits Annual Public Holidays as applicable 30 days total leave per calendar year Mediclaim policy Lifestyle Rewards Program Group Term Life Insurance Gratuity and more



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