Review Assistant

Acentra Health empowers better health outcomes through technology, services, and clinical expertise, innovating solutions that deliver maximum value and impact. Our mission invites you to lead the way—engaging in problem-solving and taking ownership of your work to accelerate better outcomes in the public sector.

About the role

The Review Assistant plays a pivotal role in streamlining the clinical review process by meticulously preparing prior authorization cases. This position ensures adherence to internal policies, procedures, and organizational standards while providing non-clinical support to programs and stakeholders.

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, identifying cases needing additional non-clinical information.
• Process and document case discharges with precision and timeliness.
• Ensure accurate and prompt submission of administrative documents to relevant parties.
• Act as a liaison with internal and external customers, fostering professional relationships to facilitate an effective review process.
• Attend training and scheduled meetings to maintain up-to-date information for case preparation.
• Uphold medical records confidentiality and adhere to HIPAA policies through secure handling of files and passwords.
• Answer calls with proper telephone etiquette and communication skills aligned with Acentra Health’s policies.
• Cross-train to perform duties of other contracts within the Acentra Health network to meet client and consumer needs.
• 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.
• Associate degree preferred and/or equivalent work experience in medical, behavioral, or social/support settings.
• 1-2 years of experience in administrative or records management.
• 2-3 years in an administrative support or customer service position, with familiarity in healthcare.

Preferred Qualifications

• Comprehensive knowledge of office environments and business processes.
• Understanding of a customer service approach tailored for medical provider stakeholders.
• Familiarity with government structures and related programs.
• Excellent communication skills and ability to multitask, prioritize, and serve diverse customers.
• Experience in development and project activities.
• Experience in staff and provider training, with preferred public speaking skills.
• Proactive approach to assessing office functions and reporting potential issues to leadership.
• Capability to track provider issues and report them appropriately.
• Willingness to learn the Atrezzo application and assist customers with technical issues related to Health Homes authorization requests.
• Proficiency in Microsoft Office applications, particularly Excel.

Experience In Lieu Of Degree

For non-clinical roles, Acentra Health recognizes that practical, hands-on experience can provide skills equivalent to formal education. Where a Bachelor’s degree may be required, the company accepts a minimum of six (6) years of directly relevant professional experience. For roles requiring an Associate’s degree, three (3) years of relevant experience may substitute for a Bachelor’s degree.

Benefits

Benefits are a key component of your rewards package, designed to provide protection, security, and support for your career and personal life. Offerings include:

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

Pay

USD $17.46 - USD $21.83 per hour. Placement within this range depends on years of applicable experience and skill level.