Insurance Portal Coordinator

Payer Portal Manager

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)

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!