Review Operations Assistant

🕒 6 days ago

🏄 California, Oregon, +1 more states – Remote

🏄 California – Remote 🌲 Oregon – Remote ☕ Washington – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Operations

🚫👨‍🎓 No degree required

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Monogram Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2019

⚕️ Healthcare Insurance

🤝 B2B

👥 B2C

Healthcare Insurance • B2B • B2C

Monogram Health is a leading multispecialty provider that delivers in-home, evidence-based care and benefit management for patients with complex, multiple chronic conditions, with a strong focus on chronic kidney disease and related metabolic, cardiovascular, pulmonary, and behavioral health needs. The company coordinates multispecialty clinical teams (nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care), provides 24/7 home-based support including home dialysis and medication management, and partners with payers and physician groups to improve outcomes, reduce hospitalizations, and lower costs.

📋 Description

• 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