Review Assistant

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—an invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work every day. As a vital partner for health solutions in the public sector, Acentra Health offers unparalleled opportunities to accelerate your career and drive meaningful outcomes alongside a team of passionate professionals.

About the Role

This remote position supports and streamlines the prior authorization and clinical review process. The Review Assistant prepares and processes prior authorization cases to ensure timely and efficient clinical review, maintains a comprehensive understanding of applicable policies and workflows, and communicates clearly with internal teams, providers, and stakeholders to facilitate the process from intake through case disposition.

Responsibilities

• Provide primary non-clinical program support, including provider training, customer service, call triaging, authorization preparation, data entry, and tracking functions for members and providers.
• Offer non-clinical support to other programs as needed, ensuring flexibility and adaptability.
• Review patient records for completeness against submission requirements and identify cases needing additional non-clinical information.
• Process and document case discharges accurately and promptly.
• Ensure accurate and timely submission of all administrative-related documents to relevant parties.
• Act as a liaison with internal and external customers to foster positive, professional relationships and facilitate an effective review process.
• Attend training and scheduled meetings to maintain up-to-date information for case preparation.
• Uphold medical records confidentiality in compliance with HIPAA policies through secure handling of passwords and files.
• Answer calls with proper telephone etiquette and communication skills aligned with Acentra Health’s policies and guidelines.
• Cross-train to perform duties of other contracts within the Acentra Health network to support a flexible workforce.
• Fulfill other assigned duties to meet contract deliverables and organizational requirements.
• Read, understand, and adhere to all corporate policies, including those related to HIPAA and its Privacy and Security Rules.

Requirements

• High school diploma or GED equivalent.
• Minimum of 2+ years of experience in records management.
• Minimum of 2+ years in an administrative support or customer service position in a healthcare environment.
• Experience working remotely.
• Comprehensive knowledge of office environments and business processes.
• Ability to multitask, prioritize, and provide service to a diverse range of customers.
• Proficiency in Microsoft Office applications, particularly Excel.
• Excellent communication skills.

Preferred Qualifications

• Associate degree and/or equivalent work experience in medical, behavioral, or social/support settings.
• Understanding of a customer service approach tailored for medical provider stakeholders.
• Familiarity with government structures and related programs.
• Experience in development and project management activities.
• A proactive approach to assessing office functions and reporting potential issues to leadership.

Benefits

Our benefits are designed to provide protection, security, and support for your career and personal life. They include:

• Comprehensive health plans.
• Paid time off.
• Retirement savings.
• Corporate wellness programs.
• Educational assistance.
• Corporate discounts.

Pay

USD $17.46 - USD $21.82 per hour. Placement within this range depends on years of applicable experience and skill level.