Handle 50-60 calls per day to resolve customer and provider inquiries while maintaining high quality assurance scores. Manage important documentation and use CRM systems to track detailed notes and escalate complex issues.
Integra Partners
5 Remote Job Openings at Integra Partners
The analyst will develop and maintain business metrics, dashboards, and reporting tools across multiple business units. They are also responsible for automating business processes and managing contractual reporting for utilization management.
Lead the modernization of the healthcare interoperability platform by designing and delivering enterprise-scale EDI and FHIR integration solutions. Mentor engineering teams and transition legacy batch integrations into a scalable, cloud-native, real-time ecosystem.
The Senior Financial Analyst supports the Financial Operations team by managing the core pricing platform and monitoring billing and payment trends. They are responsible for optimizing workflows, providing data-driven insights to stakeholders, and resolving complex payment issues.
Conduct clinical reviews of Durable Medical Equipment (DME) requests to ensure determinations align with Medicare, Medicaid, and health plan guidelines. Manage a high-volume authorization queue and participate in peer-to-peer discussions to support utilization management operations.
