Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Job Summary and Responsibilities

Acentra Health is looking for a Review Assistant to join our growing team.

Job Summary:

The Review Assistant role is pivotal in streamlining the clinical review process by meticulously preparing prior authorization cases. This individual will uphold a comprehensive understanding of internal policies, procedures, and services, ensuring adherence to organizational standards.

**This position is remote within the United States supporting work in the Eastern Time zone, 9am-5pm.

Responsibilities:

• Provide primary non-clinical program support by encompassing provider training, customer service, call triaging, authorization preparation, data entry, and the development and tracking of functions for members and providers
• Offer non-clinical support to other programs as needed, ensuring flexibility and adaptability in meeting organizational requirements
• Review patient records for completeness against submission requirements, identifying cases requiring additional non-clinical information
• Process and document case discharges with precision and timeliness
• Ensure accurate and prompt submission of all administrative-related documents to relevant parties
• Act as a liaison with internal and external customers, fostering positive and professional relationships to facilitate an effective review process
• Attend training and scheduled meetings, maintaining up-to-date information for case preparation
• Uphold medical records confidentiality through proper use of computer passwords and secured files, adhering to HIPAA policies
• Answer calls and demonstrate proper telephone etiquette and communication skills in alignment with Acentra Health’s policies, procedures, and guidelines
• Crosstrain to perform duties of other contracts within the Acentra Health network, contributing to a flexible workforce to meet client/consumer needs
• Fulfill other assigned duties to meet contract deliverables and organizational requirements
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules

Qualifications

Required Qualifications

• High school diploma or GED equivalent
• A minimum of 2+ years of experience in records management
• A minimum of 2+ years in an administrative support or customer service position in a healthcare environment
• Comprehensive knowledge of office environments and business processes
• Ability to multitask, prioritize, and provide service to a diverse range of customers
• Excellent communication skills

Preferred Qualifications

• Associate degree preferred and/or equivalent work experience related to medical, behavioral, or social/support settings
• Understanding of a customer service approach tailored for medical provider stakeholders
• Familiarity with government structures and related programs is advantageous
• Experience in development and project activities
• A proactive approach to continually assess office functions and report potential issues to the Director
• Proficiency in Microsoft Office applications including Excel, ensuring efficient utilization of essential software tools

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people’s lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at https://careers.acentra.com/jobs

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay range for this position is listed below. 

“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”

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Pay Range

USD $17.46 – USD $22.00 /Hr.