Concurrent Review Operations Assistant

Monogram Health

1d

About The Position

The Concurrent Review Ops Assistant is a key member of the Clinical Review
Specialist Team that is responsible for critical administrative day-to-day tasks
associated with operations to deliver transformative kidney care.

Requirements

• High school diploma or GED required
• Minimum of two (2) years of experience analyzing and solving customer problems
• Proven experience working in the health care industry and working with medical terminology
• Firm grasp on administrative processes and organizational policies
• Understanding and appreciation of patient privacy laws, regulations, policies, and procedures.
• Demonstrated customer service and professional communication skills, both written and verbal. Organizational and time management skills, with ability to multitask and maintain attention to detail.
• Timely, reliable, and supportive of team goals and outcomes by completing daily tasks.
• Technically savvy when handling video and audio meetings.
• Proficient in Microsoft Office – predominately Excel

Responsibilities

• Assist in processing Health Plan(s) and Contracted Provider(s) daily files and uploads for all acute and post-acute admissions
• Assist with inpatient and concurrent calls to verify and confirm admission and obtain member information
• Assist with monitoring skilled nursing facility discharges
• Create Care Events as needed for new admissions to be followed by the Clinical Review Team
• Request clinical as needed; retrieve and document clinical from our EMR system(s).
• Communicate with the care team and other internal and external stakeholders
• Analyze data and develop reports/presentations
• Ability to multitask and prioritize in a busy work environment
• Maintain safe, secure, and healthy work environment by establishing and following standards and procedures and complying with legal regulations

Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED