Welcome page Returning Candidate? Log back in! Triage Specialist Job Locations US-Remote Job ID 2025-4168 Category Care Management Posted Date 20 hours ago(8/6/2025 12:54 PM) Type Full-Time Overview

Now is the time to join us! 

 

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

Who are you?

 

As a Triage Specialist you will efficiently assess and prioritizes incoming cases, ensuring urgent matters are addressed promptly and directing non-critical issues to the appropriate resources. They act as the first point of contact, providing quick, accurate evaluations and facilitating smooth workflow across departments or teams.

 

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

Review referrals to identify possible high dollar concerns and case management needs, upload case referrals for potential case managementCreate cases in a computer software programAccurate Stop Loss notification for potential high dollar claimsProvide admin support to assigned nursesMonitor cases under high dollar case type; close cases in a timely manner when no further needs are identifiedPerform accurate data entry and maintain complete and detailed documentation of case information in the software computer systemsBe able to meet productivity, quality, and turnaround time requirements on a daily, weekly, and monthly basisAbility to meet metrics monthlyRegular and predictable attendance and punctuality

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:

Medical terminology course preferredPrior experience in customer service and/or medical backgroundPrior insurance and/or claims backgroundPrior experience in a medical front office or hospital patient intake, medical claims processing, or an equivalent combination of education and experienceAssociate degree preferred in business, management, or related field

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

Strong written and verbal communication skillsAbility to work independentlyHighly adaptable to changeAbility to make cold callsProficient in Microsoft Excel, Word, and Outlook, UM Web, El DoradoAbility to organize, prioritize, and multitask in a fast-paced/deadline driven environmentDemonstrate ability to work independently with excellent judgmentAccurate data entry skills (40wpm)Knowledge of medical terminology; ICD-10, CPT & HCPCS coding desirableExcellent interpersonal and communication skillsStrong customer orientation

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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