Insurance Portal Coordinator

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:We are seeking a detail-oriented and proactive professional to manage payer portal access and support insurance-related administrative processes. The ideal candidate will be responsible for researching payer requirements, coordinating with insurance providers, and ensuring seamless access to various payer portals for internal teams.Work Mode: Remote Shift Timings: 6pm-3am (Night Shift) Location: Mumbai(Vikhroli)Responsibilities:Key Responsibilities:Research and understand payer-specific requirements for portal access and registrationCommunicate with insurance companies to gather accurate and up-to-date access proceduresComplete portal registrations, including submission of required documentation and formsSet up and manage administrative accounts across payer portalsGrant and maintain user access for internal stakeholdersTroubleshoot portal access issues and coordinate resolutions with payersMaintain documentation of portal processes, credentials, and access workflowsCollaborate with cross-functional teams to ensure timely onboarding and access managementEnsure compliance with organizational policies and payer guidelinesUnderstanding of Optum, Zelis, availity payer portalStrong understanding of healthcare payer systems and insurance processesExcellent research and problem-solving skillsEffective communication skills, both written and verbalHigh attention to detail and organizational abilitiesExperience working with payer portals or healthcare administration preferredAbility to manage multiple tasks and stakeholders simultaneouslyProficiency in MS Office and/or other administrative tools(Mandatory Qualifications & Skills):Graduate in Any FieldBasic RCM knowledgeAR experience of 1-2 yearsSkills: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 applicable30 days total leave per calendar yearMediclaim policyLifestyle Rewards ProgramGroup Term Life InsuranceGratuity...and more!Originally posted on Himalayas