Insurance Portal Coordinator at Harris Computer

Mumbai City, maharashtra, India -

Full Time

Start Date

Immediate

Expiry Date

05 Jul, 26

Salary

0.0

Posted On

06 Apr, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Payer portal management, Healthcare revenue cycle, Insurance verification, Availity, NaviNet, Trizetto, Optum, Zelis, Claims management, Problem-solving, Communication, Attention to detail, MS Office, Administrative support, Healthcare billing, Denial management

Industry

Software Development

Description

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 registration Communicate with insurance companies to gather accurate and up-to-date access procedures Complete portal registrations, including submission of required documentation and forms Set up and manage administrative accounts across payer portals Grant and maintain user access for internal stakeholders Troubleshoot portal access issues and coordinate resolutions with payers Maintain documentation of portal processes, credentials, and access workflows Collaborate with cross-functional teams to ensure timely onboarding and access management Ensure compliance with organizational policies and payer guidelines Understanding of Optum, Zelis, availity payer portal Strong understanding of healthcare payer systems and insurance processes Excellent research and problem-solving skills Effective communication skills, both written and verbal High attention to detail and organizational abilities Experience working with payer portals or healthcare administration preferred Ability to manage multiple tasks and stakeholders simultaneously Proficiency in MS Office and/or other administrative tools (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! The mission of Harris Global Business Services (GBS) is to exclusively serve Harris BUs across all verticals as a turn-key Center of Excellence for global offshoring in different countries around the world. GBS offers services to support Harris BUs in recruiting, hiring, onboarding, training and retaining highly qualified employees based on BU requirements. We are currently building new or expanding existing offshore teams in Costa Rica, India and Bolivia. GBS creates a customized recruitment campaign to hire Harris FTEs across the full spectrum of services, including R&D, Customer Support, Professional Services and Sales roles, along with corporate services including Finance, CIT, M&A, HR, Payroll, Compliance and Legal. We are committed to supporting our diverse, highly skilled, multi-national workforce with an outstanding corporate culture and strong engagement initiatives for all employees. GBS was created based on the staff augmentation model developed by Harris Computer in Costa Rica. Incorporated in October 2020, Harris Adelante Servicios SRL currently supports more than 12 business units with 50 employees working across all vertical markets, including Harris Healthcare, Public Sector, Utilities and Quebec groups.

Responsibilities

The Insurance Portal Coordinator is responsible for managing payer portal access, including registration, account maintenance, and troubleshooting for internal teams. They will communicate with insurance providers to ensure accurate documentation and seamless access to healthcare payer systems.