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 Support Healthcare Excellence Through Critical Administrative Coordination?
We're seeking a detail-oriented professional who can provide essential administrative assistance to nurse case managers while ensuring timely identification of high-dollar concerns and case management needs. As our Triage Specialist, you'll play a vital role in monitoring referrals, maintaining accurate documentation, and supporting case managers in delivering quality care coordination. This flexible position is ideal for candidates seeking reduced hours while making meaningful impact.
This is a part-time position up to 29 hours a week. Employees may be required to work evening and weekend shifts.
What makes this role different:
✓ Flexible schedule: Reduced hours with evening and weekend availability as needed to support healthcare operations
✓ Critical triage role: Review referrals to identify high-dollar concerns and case management needs requiring immediate attention
✓ Stop Loss coordination: Provide accurate Stop Loss notification for potential high-dollar claims supporting financial risk management
✓ Technology proficiency: Work with multiple software systems including UM Web and El Dorado for comprehensive case tracking
What You'll Actually Do
Manage referral triage: Review referrals to identify possible high-dollar concerns and case management needs while uploading case referrals for potential case management intervention.
Create and maintain cases: Establish cases in computer software program while performing accurate data entry and maintaining complete, detailed documentation in software systems.
Coordinate Stop Loss notifications: Provide accurate Stop Loss notification for potential high-dollar claims ensuring timely communication of financial concerns.
Support nurse case managers: Deliver administrative support to assigned nurses while monitoring cases under high-dollar case type and closing cases when no further needs are identified.
Meet performance standards: Achieve productivity, quality, and turnaround time requirements on daily, weekly, and monthly basis while meeting established metrics consistently.
Maintain operational excellence: Demonstrate regular and predictable attendance and punctuality while adapting to changing priorities in fast-paced environment.
What You Bring to Our Mission
The foundational experience:
- 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:
- Experience with medical terminology; completion of medical terminology course preferred
- Knowledge of ICD-10, CPT & HCPCS coding desirable
- Proficiency in Microsoft Excel, Word, and Outlook
- Experience with UM Web and El Dorado systems preferred
- Accurate data entry skills (40wpm minimum)
The professional qualities:
- Strong written and verbal communication skills with excellent interpersonal abilities
- Ability to work independently with excellent judgment and decision-making capabilities
- Highly adaptable to change with flexibility to meet evolving business needs
- Strong customer orientation with commitment to supporting case management team
- Ability to organize, prioritize, and multitask in fast-paced, deadline-driven environment
- Capability to make cold calls when needed for case coordination
- Comfortable with evening and weekend availability as required to support operations
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 $17 to $20 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
