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.
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
Position 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
About Monogram Health
Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.
Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Similar Jobs
What We Do
Monogram Health is a leading value-based specialty provider of in-home evidence-based care and benefit management services for patients living with polychronic conditions, including chronic kidney and end-stage renal disease.
