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Care Management Support Specialist I
Personify Health. Review and answer service requests from internal and external customers accurately and on time .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing healthcare administrative data, including claims and revenue cycle processes, while ensuring compliance with HIPAA and maintaining accurate documentation. Proficient in data analytics and reporting, with strong skills in Microsoft Office and experience with tools like Airtable and Power BI.
Highest-signal resume keywords
Healthcare Administrative Data ManagementData Analytics and AnalysisMicrosoft Office ProficiencyHIPAA ComplianceClaims Processing Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data Entry SkillsReport PreparationFinance KnowledgeICD-10 CodingCPT CodingHCPCS CodingUtilization ManagementRevenue Cycle DataMedical TerminologyAirtable Experience
Soft Skills
Organizational SkillsAttention to DetailCommunication SkillsProblem-Solving SkillsTime Management
Tools & Technologies
Microsoft ExcelMicrosoft WordMicrosoft PowerPointMicrosoft OutlookAdobe ProductsPower BI
Industry Keywords
URAC ComplianceNCQA StandardsPatient IntakeMedical Claims ProcessingHealthcare Compliance
About the role
Key responsibilities & impact- Review and answer service requests from internal and external customers accurately and on time
- Enter and manage case data, keeping records complete and audit-ready
- Build monthly reports, maintain logs, and produce flyers and data summaries
- Create, manage, and pull invoices to confirm payment, revenue, and expenses
- Organize project folders and files
- Plan and carry out assignments to meet productivity, quality, and turnaround requirements
- Maintain documentation and processes for URAC and NCQA external audits
- Escalate department or employee concerns appropriately
- Participate in routine meetings and keep shared task lists and project trackers current
- Maintain HIPAA compliance, uphold confidentiality standards, and complete required annual training
Requirements
What you’ll need- High school diploma 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
- Experience working with claims, utilization management, care management, or revenue cycle data
- Experience working with healthcare administrative data (claims, eligibility, benefits, billing, or authorizations)
- Experience preparing reports, summaries, or dashboards for operational or leadership review
- Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook) and Adobe products
- Experience with Airtable and Power BI
- Accurate data entry skills (40 WPM)
- Data analytics and analysis capability
- Finance or bookkeeping knowledge, skills, and terminology
- Knowledge of medical terminology
- ICD-10, CPT, and HCPCS coding a plus
Benefits
Comp & perks- Competitive base salary and benefits effective day one
- Comprehensive medical and dental through our own health solutions
- Paid Time Off
- Mental health support
- Retirement planning
- Financial protection
- Professional development with clear career progression and learning budgets
- Mission-driven culture where diverse perspectives drive real impact on people's health
- Wellness programs
- Other employee perks