Responsible for replying to web-form inquiries submitted to Integra Partners from our provider/plan partners. Responsible for the review of DME claims for billing accuracy. Responsible for the investigation of root cause and for delivering a solution to our clients in a succinct, professional, and timely manner. Must maintain appropriate documentation and account records and ensure all work is in compliance with all legal, regulatory, and intern...
Responsible for replying to web-form inquiries submitted to Integra Partners from our provider/plan partners. Responsible for the review of DME claims for billing accuracy. Responsible for the investigation of root cause and for delivering a solution to our clients in a succinct, professional, and timely manner. Must maintain appropriate documentation and account records and ensure all work is in compliance with all legal, regulatory, and intern...
Integra Partners is seeking an enthusiastic and motivated individual to join our development team. We are in the middle of modernizing Integra’s EDI platform, a perfect opportunity for the right skilled candidate to join in our multi-year technology initiatives. The ideal candidate for this position is a highly skilled and motivated professional with a deep understanding of Electronic Data Interchange and its application within the healthcare ind...
About the Position. Integra Partners is looking for a Senior Account Manager for our Network Expansion team. This role is a blend of strategic account management, fast-paced sales, and problem solving. We are looking for candidates with best-in-class account management skills, a strong desire to sell, and a willingness to tackle new challenges associated with rapid business growth. This role will wear several hats and will be responsible for addr...
We are, by our DNA and nature of our leadership, an analytically minded organization and look to add a highly skilled analytical team member to help us turbocharge our analytical capabilities and thinking. The Business Analyst role will report to the Service Operations Director to support the overall development and growth of the Customer Service, Provider Claims & Appeals and Escalations departments, playing a key role in our growth and driving...
Job Description. Job Description. The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES. Monitor incoming faxes. Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes. Verify eligibility and claim history in proprietary claims platform. Verify ...
Job Description. Job Description. The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES. Monitor incoming faxes. Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes. Verify eligibility and claim history in proprietary claims platform. Verify ...
JOB SUMMARY. Integra Partners works with hundreds of healthcare providers of durable medical equipment, orthotics and prosthetics to help facilitate the care of thousands of patients per year. To ensure we are operating at the highest professional standard for our network of patients, health plans and providers, we are seeking dynamic individuals to come join our call center as Bilingual Customer Service Representatives. As the first point of con...
JOB OVERVIEW. Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining appropriate documentation and account records, as well as timely issue resolution. In this role, you will ensure work is in compliance with all legal, regulatory, and internal Integra policies and procedures, including HIPAA compliance. If you have previous medical billing or claims experie...
