Personify Health

Benefit Eligibility Specialist

Job Locations US-WV-Ripley
Job ID
2025-3993
Category
Claims Operations
Posted Date
3 weeks ago(5/29/2025 6:22 PM)
Type
Full-Time

Overview

Now is the time to join us! 

 

We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.

Responsibilities

Who are you?

 

Maintains and processes eligibility and enrollments (new hires, terminations and changes) in existing and new accounts to meet stated goals for quality and turn-around time.

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

  • Input eligibility data from enrollment forms and portal requests meeting department accuracy standards
  • Process enrollment adds and changes through the electronic file load process, also working any reports generated through that process
  • Process terminations and other changes within the unique timelines established for specific accounts
  • Review and determine eligibility and enrollment on assigned workload
  • Request and process missing or additional information on questionable enrollments via telephone or in written form from clients/participants
  • Determine appropriate eligibility for special enrollees and late entrants on new groups or renewal enrollments in accordance with plan documents
  • Function as a back-up for other eligibility specialists as needed, completing tasks timely and accurately
  • All other duties as assigned.

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.

Qualifications

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:

  • High School diploma or general education degree (GED) required, associate’s degree preferred.
  • 1+ year related healthcare work experience preferred 
  • Experience with reporting tools and software.
  • Ability to work onsite in office environment.

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

  • Proficient in computer usage with a strong command of Windows and Microsoft Office.
  • Knowledge of Microsoft Excel and familiarity with insurance database systems is an advantage.
  • Quick learner with a keen attention to detail.
  • Collaborative skills to achieve a common goal.
  • Demonstrate a strong ability to identify, analyze and solve problems.
  • Excellent written and verbal communication skills.
  • Must be able to work closely with other departments to accomplish goals, meet deadlines & clarify needs.
  • Must be able to establish and maintain good working relationships with clients and provide excellent customer service

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.

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