Now is the time to join us! 

Who are you?

As a Triage Specialist you will efficiently assess and prioritizes incoming cases, ensuring urgent matters are addressed promptly and directing non-critical issues to the appropriate resources. They act as the first point of contact, providing quick, accurate evaluations and facilitating smooth workflow across departments or teams.

In this role you will wear many hats, but your knowledge will be essential in the following:  

• Review referrals to identify possible high dollar concerns and case management needs, upload case referrals for potential case management
• Create cases in a computer software program
• Accurate Stop Loss notification for potential high dollar claims
• Provide admin support to assigned nurses
• Monitor cases under high dollar case type; close cases in a timely manner when no further needs are identified
• Perform accurate data entry and maintain complete and detailed documentation of case information in the software computer systems
• Be able to meet productivity, quality, and turnaround time requirements on a daily, weekly, and monthly basis
• Ability to meet metrics monthly
• Regular and predictable attendance and punctuality

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

What you bring to the Personify Health team:

In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:

• Medical terminology course preferred
• Prior experience in customer service and/or medical background
• Prior insurance and/or claims background
• Prior experience in a medical front office or hospital patient intake, medical claims processing, or an equivalent combination of education and experience
• Associate degree preferred in business, management, or related field

You also take pride in offering the following Core Skills, Competencies, and Characteristics:

• Strong written and verbal communication skills
• Ability to work independently
• Highly adaptable to change
• Ability to make cold calls
• Proficient in Microsoft Excel, Word, and Outlook, UM Web, El Dorado
• Ability to organize, prioritize, and multitask in a fast-paced/deadline driven environment
• Demonstrate ability to work independently with excellent judgment
• Accurate data entry skills (40wpm)
• Knowledge of medical terminology; ICD-10, CPT & HCPCS coding desirable
• Excellent interpersonal and communication skills
• Strong customer orientation

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $17.00 to $20.00 per hour. Note that compensation may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.

We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.

#WeAreHiring #PersonifyHealth

Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to talent@personifyhealth.com. All of our legitimate openings can be found on the Personify Health Career Site.

Application Deadline: Open until position is filled.