Who We Are

Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. 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.

Ready to Connect Members to Care Through Expert Pre-Certification Support?

We're seeking a customer-focused professional who can perform critical clerical and administrative duties in the utilization management division while managing high volumes of member interactions with precision and care. As our Utilization Review Intake Specialist, you'll provide accurate information about pre-certification processes while gathering essential demographic and provider data that supports clinical decision-making. This flexible position is ideal for candidates seeking reduced hours while making meaningful impact, with weekend availability required.

What makes this role different:

✓ Flexible schedule: Reduced hours with required weekend availability to support healthcare operations and member needs

✓ First impression impact: Serve as initial point of contact for pre-certification inquiries, setting tone for positive member experience

✓ Process expertise: Master pre-certification processes while providing accurate information to internal and external customers

✓ Data integrity: Ensure complete documentation and data accuracy that supports downstream utilization review decision-making

What You'll Actually Do

Manage customer interactions: Answer and route all incoming phone calls while providing accurate information to internal and external customers regarding pre-certification process.

Gather critical information: Collect demographic, non-clinical, and provider data for pre-certification using phone, fax, inter/intranet, and various computer software programs.

Review and route requests: Analyze service requests and manage them efficiently, involving appropriate departments as needed for optimal resolution and timely processing.

Maintain comprehensive documentation: Perform accurate data entry and maintain complete case information documentation while assisting in document maintenance, revisions, and monthly report compilation.

Meet performance standards: Achieve productivity, quality, and turnaround time requirements on daily, weekly, and monthly basis while supporting team excellence.

Manage high-volume operations: Handle multiple customer service calls while maintaining logs, files, and organized documentation systems in fast-paced environment.

Schedule Requirements

Candidates will be assigned one of the below shifts.

• Tuesday - Saturday, 12:30 - 5pm
• Sunday - Thursday, 12:30 - 5pm

What You Bring to Our Mission

The foundational experience:

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

The technical competencies:

• Proficiency in Microsoft Excel, Word, and Outlook
• Accurate data entry skills (40wpm minimum)
• Knowledge of medical terminology; ICD-10, CPT & HCPCS coding desirable
• Ability to navigate various computer software programs for data collection and documentation

The professional qualities:

• Strong written and verbal communication skills for diverse customer interactions
• Ability to manage high volumes of customer service calls while maintaining quality and accuracy
• Capability to organize, prioritize, and multitask in fast-paced, deadline-driven environment
• Demonstrate ability to work independently with excellent judgment and decision-making
• Strong customer orientation with commitment to providing accurate, helpful information
• Flexibility to work weekends as required to support operational needs
• Adaptability to changing priorities and ability to involve appropriate departments for complex requests

Why You'll Love It Here

We believe in total rewards that actually matter—not just competitive packages, but benefits that support how you want to live and work.

Your wellbeing comes first:

• Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!)
• Mental health support and wellness programs designed by experts who get it
• Flexible work arrangements that fit your life, not the other way around

Financial security that makes sense:

• Retirement planning support to help you build real wealth for the future
• Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
• Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage

Growth without limits:

• Professional development opportunities and clear career progression paths
• Mentorship from industry leaders who want to see you succeed
• Learning budget to invest in skills that matter to your future

A culture that energizes:

• People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation
• One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges
• We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results
• Grow Forward: Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable

The practical stuff:

• Competitive base salary that rewards your success
• Unlimited PTO policy because rest and recharge time is non-negotiable
• Benefits effective day one—because you shouldn’t have to wait to be taken care of

Ready to create a healthier world? We're ready for you.

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 $15 to $18 per hour. Note that compensation may vary based on location, skills, and experience. This position is part time and therefore not eligible for 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 #TPA #HPA #Selffunded

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.