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. Key
Responsibilities
Manage end-to-end EDI transactions (837, 835, 270/271, 276/277, 278) for claims and remittances. Onboard and manage payers and clearinghouses; ensure EDI compliance and testing. Analyze and resolve transaction errors, rejections, and denials. Oversee EDI integration with billing and EHR/PM systems. EDI profiles understanding data elements, segments, and loops within an EDI file are structured and interpreted. Setting up new clients Insurance Master Import. EDI configuration setup (SFTP and BIZUDS). SFTP notifications (SFTP blocking). Monitoring EDI folders for pending files. Billing Sanity check for Upgraded/shifted RCM Clients. Claims (EDI837/837i) related issue. Eligibility Issues (EDI270 and EDI271). Acknowledgements EDI997 and EDI277 Issues. Remittances EDI835 issue and resolution. Resolution on Rejections and Denial issues. Coordination with Clearinghouses. Patient Statement Setup. Resolv RCM Client Termination Process. Coordinate with the engineering team regarding problems and enhancements. Miscellaneous Activities.
Qualifications
Bachelor’s degree in IT, Healthcare, or related field. 5–7 years of healthcare EDI experience with RCM exposure. Knowledge of HIPAA, X12 transaction sets, and payer workflows. Strong problem-solving, communication, and vendor management skills. Work Mode: Office Hybrid Shift Timings: 6pm-3am (Night Shift) Location: Mumbai(Vikhroli) 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! At Harris, we believe great people build great software. We offer an environment where employees are empowered to make a real impact, grow their skills, and shape their careers. Our teams enjoy a supportive, award‑winning culture, a casual and collaborative workplace, and opportunities to learn from a diverse group of businesses and industries. We are financially strong and proudly part of Constellation Software Inc. (CSI), the largest software company in Canada, providing long‑term stability alongside entrepreneurial autonomy. In addition to a competitive compensation and benefits package, we offer meaningful perks, flexibility, and—most importantly—a culture that values people, curiosity, and having fun while doing great work. Follow us on LinkedIn to learn more about our culture, values, and career opportunities. Harris is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Applicants who require a reasonable accommodation due to a disability may contact us by email at HarrisTalentAcquisition@harriscomputer.com. Accommodation requests may be made at any time. This email address is dedicated solely to accommodation requests and cannot be used to inquire about application status. Know Your Rights Poster EO 13496: Notification of Employee Rights under Federal Labor Laws Our commitment to fair and equitable hiring. As part of our recruitment process, we use artificial intelligence (AI) tools during the initial screening phase to help identify candidates whose qualifications most closely align with the requirements of the role. This technology supports efficiency and consistency in the early stages, but it never replaces human judgement. All subsequent evaluations and final hiring decisions are made by our recruitment professionals. AI does not make final hiring decisions.