Review Operations Assistant

Monogram Health

Concurrent Review Ops Assistant responsible for processing Health Plan files and coordinating with healthcare teams for kidney care operations. Assist in member information verification and documentation among various stakeholders.

Posted 6/3/2026full-timeRemote • California, Oregon, Washington • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

data analysisreport developmentclinical documentationmedical terminologyadministrative processespatient privacy lawsmultitaskingattention to detailMicrosoft Excel

Soft Skills

customer serviceprofessional communicationorganizational skillstime managementteam collaborationreliabilityproblem-solving

Certifications

high school diplomaGED