Concurrent Review Operations Assistant
Monogram Health
full-time
Posted on:
Location Type: Remote
Location: California • Oregon • United States
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About the role
- 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
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
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analysisreport developmentclinical documentationmedical terminologyadministrative processespatient privacy lawsmultitaskingattention to detailMicrosoft Excel
Soft Skills
customer serviceprofessional communicationorganizational skillstime managementreliabilityteam supportproblem solving
Certifications
high school diplomaGED