Review Assistant-SCA

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 at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

This individual will uphold a comprehensive understanding of internal policies, procedures, and services, ensuring adherence to organizational standards. Their attention to detail and dedication to efficiency are expected to make a significant contribution to review operations' success.

Key Responsibilities/ Accountabilities:

• 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
• Crosstrain 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

• 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
• 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

Additional Qualifications:

• Associate degree and/or equivalent work experiences related to medical, behavioral, or social/support settings preferred
• 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

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay range for this position is listed below.

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."