Clinical Business Operations Representative 2

University of Miami; Miami (FL); On-site; USD 42,000 - 64,000; Full time

Job summary

The University of Miami/UHealth Department of Surgery seeks a Clinical Business Operations Representative 2 in Miami to facilitate pre- and post-care operations, manage patient demographics, insurance information, and referrals, and ensure complete clinical records and timely communications.

You will greet visitors and callers, answer calls and emails, triage inquiries, and direct them to the appropriate staff while maintaining confidentiality; coordinate OMFS on-call, clinic, and rotation

Qualifications

• High school diploma or equivalent.
• Minimum 2 years of relevant experience.
• Skill in data entry with minimal errors.
• Ability to communicate effectively in both oral and written form.
• Ability to work evenings, nights, and weekends as necessary.
• Skill in collecting, organizing, and analyzing data.
• Ability to work independently and/or in a collaborative environment.
• Commitment to the University’s core values.

Responsibilities

• Assists the department in managing expectations surrounding pre- and post-patient care.
• Obtains or reviews all patient demographic information, insurance information, and referral numbers.
• Reviews clinical records for completeness including authorization, signatures, missing data, and other patient information.
• Answers multiple telephones for the department: triages incoming calls, responds to questions, directs calls, and documents messages in the appropriate software.
• Greeting visitors and callers, handles their inquiries, and directs them to the appropriate employee according to their needs.
• Works cooperatively with fellow employees to solve problems and enhance the smooth and efficient flow of practice.
• Provides coverage for responsibilities of co-workers when assigned or as need arises.
• Develops and promotes the use of effective methods of communicating with physicians, managers, peers, trainees, and staff on a regular basis.
• Maintains confidentiality of all information.
• Adheres to University and unit-level policies and procedures and safeguards University assets.
• Oral & Maxillofacial Surgery (OMFS) responsibilities including scheduling and credentialing support.
• Credentialing & Compliance maintenance of provider credentialing and hospital privileges.
• Administrative & Financial Operations including reimbursements, funds, requisitions, and Workday.
• Educational & Clinical Event Support including Graduation ceremonies and Research Day coverage.

Skills

Data entry

Effective communication

Time management

Team collaboration

Adaptability

Education

High school diploma or equivalent

Job description

Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet .Clinical Business Operations Representative 2The University of Miami/UHealth Department of Surgery has an exciting opportunity for a Full Time, Clinical Business Operations Representative 2 to work in Miami.Core Job Summary:The Clinical Business Operations Representative 2 facilitates the prompt resolution of problems related to pre- and post-care that arise in daily clinical operations. The incumbent performs general administrative and receptionist functions, to include answering calls and emails, efficient management of patients, and the acquisition of necessary patient care and records. The Clinical Business Operations Representative 2 assists patients in a courteous, efficient and professional manner and ensures adherence to divisional and departmental service standards.Core Responsibilities:Assists the department in managing expectations surrounding pre- and post-patient care.Obtains or reviews all patient demographic information, insurance information, and referral numbers.Reviews clinical records for completeness including authorization, signatures, missing data, and other patient information.Answers multiple telephones for the department: triages incoming calls, responds to questions, directs calls, and documents messages in the appropriate software.Greeting visitors and callers, handles their inquiries, and directs them to the appropriate employee according to their needs.Works cooperatively with fellow employees to solve problems and enhance the smooth and efficient flow of practice.Provides coverage for responsibilities of co-workers when assigned or as need arises.Develops and promotes the use of effective methods of communicating with physicians, managers, peers, trainees, and staff on a regular basis.Maintains confidentiality of all information.Adheres to University and unit-level policies and procedures and safeguards University assets.Department Specific Functions:Oral & Maxillofacial Surgery (OMFS)(11 Faculty members & 10 Dental Assistants)Clinical Operations SupportDevelop and maintain:OMFS On-Call Schedule (ensures continuous patient coverage)Annual Rotation ScheduleACC Clinic ScheduleCorrectional Center Clinic ScheduleModify on-call schedules to maintain uninterrupted patient care coveragePopulate shared Outlook calendars to reflect clinic, OR, and call responsibilitiesProcess physician leave requests to prevent clinical coverage gapsCoordinate standing orders (NotifyMD, Image First, Scribe America) to support patient care operationsMaintain vaccine records (clinical compliance requirement)Track and renew medical licenses (required for patient care practice)Maintain delineation of privileges (defines scope of clinical practice)Maintain CME compliance (required for continued clinical competency)Request and track case log reports (supports clinical credentialing and privileging)Manage JHS ID access for hospital-based patient careB. Credentialing & ComplianceMaintain provider credentialing and recredentialing documentationEnsure hospital privileges are active and compliantMaintain clinical compliance documentation for auditsC. Administrative & Financial OperationsProcess reimbursementsManage discretionary fundsOrder clinical apparel (lab coats)Submit requisitions and check requestsPay invoices and reconcile budgets in WorkdayD. Educational & Clinical Event SupportCoordinate OMFS Graduation CeremonySupport Research Day coverage to maintain clinical operations while faculty participateCoordinate guest speaker travel and reimbursementsThis list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.Core Qualifications:High school diploma or equivalentMinimum 2 years of relevant experienceSkill in data entry with minimal errors.Ability to communicate effectively in both oral and written form.Ability to work evenings, nights, and weekends as necessary.Skill in collecting, organizing, and analyzing data.Ability to work independently and/or in a collaborative environment.Commitment to the University’s core values.The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.Job Status:Full timeEmployee Type:Staff