Utilization Review Intake Specialist

Personify Health

3d•$15 - $20

About The Position

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 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.

Requirements

Associate degree preferred in business, management, or related field
Prior experience in customer service and/or medical background
Proficiency in Microsoft Excel, Word, and Outlook
Accurate data entry skills (40wpm minimum)
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

Nice To Haves

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
Knowledge of medical terminology; ICD-10, CPT & HCPCS coding desirable

Responsibilities

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.

Benefits

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
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
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
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
Competitive base salary that rewards your success
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