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:

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!