The analyst monitors and documents production quality within the Revenue Cycle Management function, focusing on claims auditing and compliance. They identify trends, report findings to leadership, and collaborate with operations to reduce defects and improve reimbursement outcomes.
Integra Partners
7 Remote Job Openings at Integra Partners
Perform pre-service and post-service utilization reviews and appeals for DMEPOS to ensure medical necessity and benefit eligibility. Collaborate with the Medical Director and maintain compliance with NCQA, CMS, and state agency standards.
The UM Coordinator provides administrative support to the clinical team by processing prior authorizations and appeals. Key tasks include monitoring faxes, verifying eligibility, and coordinating medical documentation between providers and the UM platform.
The analyst monitors and documents production quality within the Revenue Cycle Management function, focusing on claims auditing and compliance. They identify trends, prepare quality reports, and collaborate with leadership to drive continuous improvement and training.
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.