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Acentra Health · 7 hours ago

Review Assistant - SCA (Remote)

United States

Full-time

Remote

Entry Level

$17/hr - $17/hr

1+ years exp

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.

Health Care

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

Qualification

Customer serviceAdministrative supportRecords managementMicrosoft OfficeCommunication skillsMultitaskingTraining experienceProactive approachTechnical issue resolution

Required

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

Preferred

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 Microsoft Office applications and Excel, ensuring efficient utilization of essential software tools