Integra Partners Benefits Overview

Design, implement, and maintain EDI and integration services for healthcare, handling HL7/X12 (and FHIR) data transformations, containerized deployments, monitoring, testing, load testing, and CI/CD automation using Java/Golang, Edifecs tools, Docker/Kubernetes, and collaborating with SRE and cross-functional teams.

Support UM clinical team with administrative tasks for prior authorizations and appeals: monitor faxes, enter authorization requests using ICD-10/HCPCS, verify eligibility and documentation, obtain medical records, generate notifications, document cases, initiate appeals, meet regulatory timelines, and assist with inquiries.

Identify, research, and qualify payer prospects to build pipeline; execute outbound campaigns and support meetings; maintain Salesforce CRM and reporting; analyze campaign and pipeline metrics; support opportunity progression through proposal, contracting, and implementation transition.