Physical Therapist Reviewer PRN (Remote - Within Alabama)

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 unparalleled opportunities. 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 is seeking a Physical Therapist Reviewer PRN to join our growing team.

MUST RESIDE IN THE STATE OF ALABAMA

Job Summary :

The Physical Therapist Reviewer PRN is responsible for evaluating medical records against established criteria in accordance with contractual obligations, leveraging clinical expertise, critical thinking, and decision-making skills.

They take the lead in ensuring determinations of medical appropriateness align with productivity goals and the quality assurance standards established by the organization.

Requirements

Job Responsibilities :

Review and interpret patient records and compare against criteria to determine medical necessity and appropriateness of care.

Determine if the medical record documentation supports the need for services.

• Determine approval or initiate a referral to the consulting physician and process the physician's decisions, ensuring the reason for the denial is described in sufficient detail on correspondence.
• Abstract review-related data / information accurately and timely.
• Foster positive and professional relationships and consult with internal and external customers to ensure effective working relationships and team building.
• Performs ongoing reassessment of the review process to offer opportunities for improvement and / or change.
• Attend training and scheduled meetings.
• Always maintain medical records confidentiality through proper use of computers and passwords, maintenance of secured files, and adherence to HIPAA policies.
• Perform other duties as assigned.

Required Qualifications / Experience :

• Active and unrestricted Physical Therapy license. Must be registered with both the Alabama Board of Physical Therapy and Board of Medical Examiners.
• Must not currently or in the future be employed with an Alabama Medicaid Provider.
• Reside in the state of Alabama.
• Knowledge of Medicare and Medicaid Wheelchair policies.
• Strong medical record abstracting skills and thorough knowledge of medical records, medical terminology, and disease processes.
• 2+ years of clinical experience in a physical therapy or rehabilitation environment.

Preferred Qualifications / Experience :

• Prior experience or knowledge of durable medical equipment prior authorization requirement.
• Excellent written and verbal communication skills.
• Strong clinical assessment and critical thinking abilities.
• Ability to work collaboratively.
• Ability to change or adapt quickly to accommodate different situations.
• Strong organizational skills.
• Proficiency in Microsoft Office.
• Initiative-taking and driven to achieve productivity goals.
• Possess an elevated level of self-motivation.
• Demonstrated enthusiasm for achieving personal and professional goals.

Benefits

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 a 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 nationwide. Our company cares about our employees, giving 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.

Compensation

The pay range for this position is $42.00 / hr - $49.00 / hr

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

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 chosen to advance in our interview process will be contacted.

We sincerely appreciate your interest in Acentra Health and invite you to apply for 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

EOE 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.