[Hiring] Operations Support Specialist REMOTE USA
Position: Operations Support Specialist
Date Posted: September 27, 2025
Industry: Healthcare / Insurance / Operations
Employment Type: Full Time
Experience: Not Specified
Qualification: High School Diploma / GED (Medical claims experience preferred)
Salary: $17.00 – $20.00 per hour
Location: United States, REMOTE
Company: Personify Health
Description:
Join Personify Health and be part of our mission to create a healthier world! We are looking for a detail-oriented Operations Support Specialist to support our claims operations and ensure smooth, accurate processing across multiple locations.
🔹 Key Responsibilities:
• Monitor and manage appeals: Review emails, system mailboxes, and scan folders in claims systems to accurately log appeals, ensuring proper documentation and tracking.
• Handle overpayment recovery: Professionally contact clients to recover overpayments while maintaining positive relationships.
• Provide operational backup: Support other locations and departments when needed, demonstrating flexibility and cross-functional capabilities.
• Complete specialized tasks: Handle assignments from management, including document retrieval, data entry, and administrative support.
• Maintain quality standards: Ensure extreme accuracy in all tasks while meeting deadlines in a fast-paced environment.
🔹 Qualifications & Skills:
• High school diploma or GED; experience in medical insurance preferred
• Knowledge of medical terminology, ICD-10, CPT & HCPCS coding
• Experience with Qiclink and/or Eldorado Claims systems is a plus
• Proficiency in Microsoft Word, Excel, and Outlook
• Understanding of medical claims processing and workflow
• Strong organizational, multitasking, and time management skills
• Excellent professional communication, both written and verbal
• Ability to work independently with sound judgment and attention to detail
🔹 Why You’ll Love Working Here:
• Comprehensive medical, dental, and mental health support
• Flexible work arrangements and unlimited PTO
• Competitive compensation and benefits effective day one
• Retirement planning support and voluntary benefits
• Professional development opportunities, mentorship, and learning budget
• Inclusive, collaborative culture that values diversity, equity, and belonging
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