Claims Inquiry Representative

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 internal Integra policies and procedures, as applicable (including, but not limited to HIPAA compliance) at all times.

Salary: $19.00/hour

JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES

• Ability to work with multiple health plan payors and remain flexible in day-to-day assignments.
• Strong attention to detail is required.
• Ability to respond professionally and thoroughly to provider inquiries in a timely manner.
• Must be self-motivated to use available resources to investigate and problem solve.
• Understand and perform duties in compliance with State and Federal regulations and the policies and procedures of Integra Partners and our clients.
• Ability to follow written and verbal directions.
• Ability to meet consistent and punctual attendance expectations.
• Must be flexible and willing to adapt to a changing environment.
• Must be committed to adding value and contribute positively to the company and department.
• Accountable for daily productivity goals at or above the current production metric
• Must maintain a minimum bandwidth internet service of 200 MPS download speed to adequately perform daily job duties.
• Maintain a climate of teamwork and collaborative problem solving.
• Perform other duties as assigned.

EDUCATION: High school diploma required

EXPERIENCE:

• Former medical billing experience required.
• Strong computer/keyboarding skills – including all Microsoft Office applications (Word, Excel, Outlook, etc.) with an ability to learn new programs where applicable.
• Familiarity with 1500 claim forms and DMEPOS services
• Familiarity of ICD-10, HCPCS, and medical terminology
• Must be able to correctly read and assess medical documents and resources.
• Motivated and able to work independently within a fast-paced, team environment.
• Strong organizational and critical thinking skills
• Must be reliable and meet attendance expectations.

Benefits Offered

• Competitive compensation and annual bonus program
• 401(k) retirement program with company match
• Company-paid life insurance
• Company-paid short term disability coverage (location restrictions may apply)
• Medical, Vision, and Dental benefits
• Paid Time Off (PTO)
• Paid Parental Leave
• Sick Time
• Paid company holidays and floating holidays
• Quarterly company-sponsored events
• Health and wellness programs
• Career development opportunities

Remote Opportunities

We are actively seeking new colleagues in: Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Kentucky, Massachusetts, Michigan, North Carolina, New Jersey, New York, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Vermont, and Washington.

Our Story

Founded in 2005, Integra Partners is a leading national durable medical equipment, prosthetic, and orthotic supplies (DMEPOS) network administrator. Our mission is to improve the quality of life for the communities we serve by reimagining access to in-home healthcare. We connect Payers, Providers, and Members through innovative technology and streamlined workflows affording Members access to top local Providers and culturally competent care. By focusing on transparency, accountability, and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary of Point32Health.

With a location in Michigan plus a remote workforce across the United States, Integra has a culture focused on collaboration, teamwork, and our values: One Team, Drive Results, Push the Boundaries, Value Others, and Build Community. We’re looking for energetic, talented, and dedicated individuals to join our team. See what opportunities we have available; there may be a role for you to engage in a challenging yet rewarding career in healthcare. We look forward to learning more about you.

Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.