Care Management Support Specialist

Personify Health

1d • $17 - $22

About The Position

Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes. Together, our team is on a mission to empower people to lead healthier lives.
Learn even more about the work that drives us at personifyhealth.com.

Requirements

• High school graduation or equivalent (GED)
• Prior experience in a medical front office, hospital patient intake or medical claims processing, or an equivalent combination of education and experience
• Proficient in excel and/or Airtable
• Strong written and verbal communication skills
• Proficient in Microsoft and Adobe products including but not limited to; Excel, Word, Power Point, Adobe, Air Table, Power BI and Outlook
• Data analytics and analysis knowledge
• Ability to organize, prioritize, and multitask in a fast-paced/deadline driven environment
• Finance or bookkeeping knowledge, skills and terminology
• Demonstrate ability to work independently with excellent judgment
• Accurate data entry skills (40wpm)
• Strong customer orientation
• Good time management skills; highly organized
• Comfort learning new systems, tools, and workflows in a fast‑paced environment
• Ability to perform the essential job functions safely and successfully with or without a reasonable accommodation, including meeting qualitative and/or quantitative productivity standards
• Ability to maintain regular, punctual attendance
• Ability to sit for 6-8 hours
• Constant use of computer keyboard and mouse; repetitive use of both hand
• Occasional to frequent twisting of neck; frequent bending of neck and at waist
• Able to move and set up tables and chairs

Nice To Haves

• Experience working with claims, utilization management, care management, or revenue cycle data
• Experience preparing reports, summaries, or dashboards for operational or leadership review
• Experience working with healthcare administrative data (e.g., claims, eligibility, benefits, billing, or authorizations)
• Knowledge of medical terminology; ICD-10, CPT & HCPCS coding desirable

Responsibilities

• Perform clerical/administrative duties in the care management department
• Review service requests from internal and external customers. Respond accurately and timely
• Provide accurate information to internal and external customers (reports, flyers, data collection)
• Perform data entry and maintain complete documentation of case information; assist in document maintenance or revisions; compile monthly reports; maintain logs and files
• Plan, organize and carry out work assignments timely and orderly
• Maintain folders for various projects organized for easy access
• Use appropriate judgment in upward communication regarding department or employee concerns
• Participate in routine meetings and maintain a current task, shared task list or current projects
• Be able to meet productivity, quality, and turnaround time requirements on a daily, weekly, and monthly basis
• Creating, managing and pulling invoices to confirm payment, revenue, and expenses
• Ability to pass external audits to include URAC and NCQA
• Maintain HIPAA compliance per company’s policy and procedures
• Maintain confidentiality and minimum requirement rules
• Complete all required yearly training per company’s expected period

Benefits

• Competitive base salary and benefits effective day one
• Comprehensive medical and dental through our own health solutions (yes, we use what we build)
• Paid Time Off—rest and recharge time is non-negotiable
• Mental health support, retirement planning, and financial protection
• Professional development with clear career progression and learning budgets
• Mission-driven culture where diverse perspectives drive real impact on people's health

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED