Triage Intake Specialist

hace 2 meses

Buenos Aires, Argentina VirginPulse A tiempo completo

Overview:
**Now is the time to join us**

We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. 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?**

Provide administrative assistance to nurse case managers.

**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 management
- Create cases in a computer software program
- Accurate Stop Loss notification for potential high dollar claims
- Provide admin support to assigned nurses
- Monitor cases under high dollar case type; close cases in a timely manner when no further needs are identified
- Perform accurate data entry and maintain complete and detailed documentation of case information in the software computer systems
- Be able to meet productivity, quality, and turnaround time requirements on a daily, weekly, and monthly basis
- Ability to meet metrics monthly
- Regular and predictable attendance and punctuality
- Perform advanced clerical/administrative duties in the utilization management division
- 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 preferred- Prior experience in customer service and/or medical background- Prior insurance and/or claims background- Prior experience in a medical front office or hospital patient intake, medical claims processing, or an equivalent combination of education and experience- Associate degree preferred in business, management, or related fieldStrong written and verbal communication skills- Ability to work independently- Highly adaptable to change- Ability to make cold calls- Proficient in Microsoft Excel, Word, and Outlook, UM Web, El Dorado- Ability to organize, prioritize, and multitask in a fast-paced/deadline driven environment- Demonstrate ability to work independently with excellent judgment- Accurate data entry skills- Excellent interpersonal and communication skills- Strong customer orientation

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

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.

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