CNSI and Kepro are now Acentra Health! 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 company’s mission, actively engage in problem-solving, and take ownership of your work daily. 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.
Acentra seeks a Review Assistant to join our growing team.
Job Summary:
As a Review Assistant, you will be an essential part of our team, significantly contributing to the efficiency of our review process. Your role involves meticulously preparing prior authorization cases for clinical review, streamlining operations to enhance our service delivery.
With an understanding of our internal policies, procedures, and services, both at the departmental and operational levels, you will ensure that our productivity and quality standards align with the contracted deliverables. Your responsibilities extend to the preparation of all related documentation, handling mailings, and compiling reports to fulfill eligibility, services, and hearing requirements. Join our team and play a key role in facilitating our mission to provide timely and accurate review services.
*Position is remote, but candidates based in Central or Eastern Time zones are preffered as position must be worked in Eastern Time zone business hours.
Job Responsibilities:
Reviews of patient records to ensure compliance with submission requirements. Determine the presence of all necessary information for each case and identify instances where additional non-clinical details are required. Efficiently process and document case discharges, ensuring a seamless transition for all involved parties. Ensure the accurate and timely submission of all administrative documents to the relevant parties, maintaining the highest standards of administrative support. Relationship Building: Foster positive and professional relationships, serving as a liaison between internal and external stakeholders. Your role is vital in ensuring effective collaboration and team building, essential for facilitating the review process. Take an active role in attending training sessions and meetings. You will be responsible for maintaining and utilizing current and updated information for case preparation, ensuring the highest level of proficiency and knowledge. Engage in cross-training to perform duties across different contracts within the Acentra network. Your adaptability will contribute to a flexible workforce, ready to meet varying client and consumer needs. Be prepared to undertake other tasks as assigned. This list of responsibilities is dynamic and may be broadened to encompass other duties related to education and experience that management considers essential.