Acentra Health · 2 weeks ago
Review Assistant - SCA (Remote)
United States
Full-time
Remote
Entry Level
$17/hr - $17/hr
2+ years expAcentra Health is dedicated to empowering better health outcomes through innovative technology and services. The Review Assistant role is crucial in streamlining the clinical review process by preparing prior authorization cases and ensuring compliance with internal policies and procedures.
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
Required
High school diploma or GED equivalent
1+ years of experience in administrative or records management
2+ years in an administrative support or customer service position and be familiar with health care
Preferred
Associate degree and/or equivalent work experiences related to medical, behavioral, or social/support settings preferred
Proficiency in Microsoft Office applications to include Excel
Comprehensive knowledge of office environments and business processes
Understanding of a customer service approach tailored for medical provider stakeholders
Ability to multitask, prioritize, and provide service to a diverse range of customers
Familiarity with government structures and related programs is advantageous
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
Excellent communication skills
Benefits
Comprehensive health plans
Paid time off
Retirement savings
Corporate wellness
Educational assistance
Corporate discounts
And more
Company
Acentra Health
Acentra Health is a provider of clinical services and technological solutions to government healthcare organizations.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2022-11-09Acquired
Leadership Team
Todd Stottlemyer
Chief Executive Officer
Grant Christie
Senior Vice President, Market Strategy and Solutions
Recent News
2026-01-13
Company data provided by crunchbase