Job Description
Overview:
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.
Responsibilities:
Ready to Bridge Members and Providers Through Seamless Intake 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 customer 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 customer 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.
Qualifications:
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 creating meaningful work experiences that fit your life—whether you're building your career, balancing other commitments, or seeking purposeful part-time opportunities.
Flexibility that actually works:
Part-time schedule designed around your availability and life priorities
Remote work that eliminates commute stress
Clear expectations and boundaries that respect your time investment
Growth without limits:
Access to learning and development opportunities alongside full-time colleagues
Mentorship and skill-building that translates to career advancement
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 hourly compensation that values your expertise
Technology and equipment support to set you up for success
Ready to create a healthier world while building the career you want? We're ready for you.
No candidate will meet every single qualification listed. If your experience looks different but you think you can bring value to this 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 $21 . Note that compensation may vary based on location, skills, and experience. This position is 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
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.
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.
Responsibilities:
Ready to Bridge Members and Providers Through Seamless Intake 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 customer 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 customer 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.
Qualifications:
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 creating meaningful work experiences that fit your life—whether you're building your career, balancing other commitments, or seeking purposeful part-time opportunities.
Flexibility that actually works:
Part-time schedule designed around your availability and life priorities
Remote work that eliminates commute stress
Clear expectations and boundaries that respect your time investment
Growth without limits:
Access to learning and development opportunities alongside full-time colleagues
Mentorship and skill-building that translates to career advancement
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 hourly compensation that values your expertise
Technology and equipment support to set you up for success
Ready to create a healthier world while building the career you want? We're ready for you.
No candidate will meet every single qualification listed. If your experience looks different but you think you can bring value to this 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 $21 . Note that compensation may vary based on location, skills, and experience. This position is 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
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.
💡 Quick Summary
Seeking a career-building opportunity? The Utilization Review Intake Specialist position is now open for candidates interested in the Work from home Jobs sector. This role in New York offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Work from home Jobs is a plus.
