Job Description
Note:
The job is a remote job and is open to candidates in USA. Acentra Health is dedicated to empowering better health outcomes through technology and clinical expertise. They are seeking a Review Assistant to streamline the clinical review process by preparing prior authorization cases and ensuring adherence to organizational standards. 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 Cross-train 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 Skills High school diploma or GED equivalent 1-2 years of experience in administrative or records management 2-3 years in an administrative support or customer service position and be familiar with healthcare
Comprehensive knowledge of office environments and business processes 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 Excellent communication skills Ability to multitask, prioritize, and provide service to a diverse range of customers Experience in development and project activities Experience in staff and provider training, with preferred public speaking skills A proactive approach to continually assess office functions and report potential issues to the Director Capability to track provider issues and report them appropriately Willingness to learn the Atrezzo application and assist customers in resolving technical issues related to the submission of Health Homes authorization requests Proficiency in bolthires Office applications and Excel, ensuring efficient utilization of essential software tools Benefits
Comprehensive health plans Paid time off Retirement savings Corporate wellness Educational assistance Corporate discounts Company Overview Acentra Health is a provider of clinical services and technological solutions to government healthcare organizations.
It was founded in 1994, and is headquartered in Mclean, Virginia, USA, with a workforce of 1001-5000 employees. Its website is