Review Assistant II
Ridgeland, MS
State Health Solutions /
Full-Time /
On-site
Provides non-clinical support for review processes, often in healthcare settings. This role involves preparing cases for review, ensuring data accuracy, and assisting with administrative tasks related to the review process. Review Assistants may also interact with patients, providers, and other stakeholders to gather information, answer questions, and facilitate the review process.
Essential Functions
- Supports utilization review processes, often in healthcare settings, by assisting with pre-authorization, concurrent reviews, and discharge planning.
- Review Assistants prepare cases for clinical review by gathering necessary information, ensuring completeness of records, and organizing documents.
- They enter data into systems, maintain records, and ensure data accuracy and integrity.
- They respond to inquiries from members, providers, and other stakeholders, providing information and assistance related to the review process.
- They may manage support task workflows, prioritize tasks, and coordinate with other team members.
Case Preparation:
Data Management:
Customer Service:
Workflow Coordination:
Requirements
- Strong administrative, communication, and organizational skills, along with the ability to interpret complex information and work independently.
- A high school diploma or equivalent is often the minimum requirement, with some roles preferring or requiring an associate or bachelor's degree.
- Two or more years of experience in administrative support, customer service, or related fields is frequently desired.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and/or Google Suite (Docs, Sheets, Gmail, Drive)
- Review Assistants need to be highly organized to manage tasks, prioritize effectively, and maintain records.
- The ability to analyze information, identify patterns, and solve problems is often necessary.
- In roles involving external stakeholders, strong customer service skills are often essential.
Experience:
Organizational Skills:
Analytical Skills:
Customer Service Skills:
Who We Are:
Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise.
Health has changed a lot through our 50-year history, but what has remained constant is that we care deeply about who we serve and what we do. Our success is built on our ability to adapt, respond to client needs, and offer innovative solutions.
Our business is our people and we’re looking for talented individuals who not only believe in our mission but who are ready to take ownership and make a difference in the lives of people, in the world of health. Learn more about who we are and what we do at www.telligen.com/about-us
Are you Ready?
We’re on a mission to transform lives and economies by improving health and getting there means following through on our values of Ownership, Community, Ingenuity & Integrity.
Ownership: As a 100% employee-owned company, our employee-owners drive our business, our solutions, and share in our success. When employee-owners grow and thrive, we all win.
Community: Putting others first and being a good corporate partner wherever we work, and play makes us who we are. We Show Up. For our clients, for our communities, and for each other.
Ingenuity: We’re a team of passionate professionals driven by hard work and big ideas. We understand that high-value breakthroughs come from taking calculated risks. If it will benefit our clients and advance our mission, we’re all ears. We celebrate free-thinking and challenge the status quo, so brainstorm away!
Integrity: Smiling faces (virtual or in-person) are the norm around here. We enjoy a friendly work environment where everyone is dedicated to mutual trust, respect, and excellence.
Thank you for your interest in Telligen!
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While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
As part of our commitment to health and safety, some roles may require additional health protocols (i.e. personal protective equipment or vaccination).
Telligen and our affiliates are Affirmative Action, Equal Opportunity Employers, and E-Verify Participants.
Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time.
Telligen does not accept 3rd party solicitations from outside staffing firms.
