Clinical Business Operations Representative 2 (H)

University of Miami; Miami (FL); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Tuition remission

Job summary

The University of Miami Health System is seeking a Clinical Business Operations Representative 3 to support daily clinical operations on the UHealth Campus. The role focuses on pre and post care coordination, patient flow, and records management.

The hybrid position requires strong communication, data accuracy, and the ability to handle multiple tasks in a fast-paced environment.

Qualifications

• High school diploma or equivalent required.
• Minimum 2 years of relevant experience.
• Strong communication and data-entry skills.
• Ability to work evenings, nights, and weekends as necessary.

Responsibilities

• Assists the department in managing expectations surrounding pre and post patient care.
• Obtains or reviews 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: triage incoming calls, responds to questions, directs calls, and documents messages in the appropriate software.
• Greets visitors and callers, handles inquiries, directs them to the appropriate employee.
• Works cooperatively with fellow employees to solve problems and enhance the smooth flow of the practice.
• Provides coverage for responsibilities of co-workers when assigned or as needed.
• Develops and promotes effective communication with physicians, managers, peers, trainees, and staff.
• Maintains confidentiality of all information.
• Adheres to University and unit-level policies and safeguards assets.

Skills

Data entry

Communication

Multitasking

Flexible hours

Education

High school diploma or equivalent

Job description

The Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine has an exciting opportunity for a Full time Clinical Business Operations Representative 3 to work on the UHealth Campus.

The Clinical Business Operations Representative 3 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 incoming calls, efficient management of patients, and the acquisition of necessary patient care and records.

The Clinical Business Operations Representative 3 assists patients in a courteous, efficient and professional manner and ensures adherence to divisional and departmental service standards.

This position is hybrid.

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: triage incoming calls, responds to questions, directs calls, and documents messages in the appropriate software.
• Greets 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 the 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

• Answer phones, triage, and follow-through on messages and information requests from patients using UChart, as well as internal and external customers.
• Obtain pre-authorization for oral medications, diagnostic exams, and patient procedures, coordinate medical necessity letters and other documents for patient assistance program under nurse and/or physician supervision.
• Communicate with internal and external facilities to confirm the receipt of orders and prescriptions for the patient (i.e. outgoing referrals, diagnostic tests, medications, durable medical equipment).
• Coordinate physician schedule and outpatient clinic.
• Work closely with Department’s clinical operations staff to ensure seamless coordination between the faculty members’ clinical activities and their academic/administrative work.
• Coordinate and supervise appointments for VIP and international patients.
• Reviews patient demographic information, insurance information and referral numbers for accuracy while having patient on the phone.
• Accurately records all data and maintains necessary records or files for future new patient appointments in BOX, relating to clinical care received via main fax machine, distribution of incoming faxes and mail.
• Scan outside medical records/documents into UChart to have them ready for patients next follow up appointments.
• Acquire the materials necessary for the patient visit including medical records and x-rays.
• Communicates with patients regarding delays in schedule.
• Respond to medical records inquiries on the in person, via fax, telephone and general medical records e-mail.
• Proactively works physicians clinical scheduled to maximize time and manage capacity.
• Monitoring access to new appointments and management of any waiting lists for appointments.
• Manage the UChart Inbasket for assigned division.
• Answer phones, triage, and follow-through on messages and information requests from internal and external customers Work closely with Department’s clinical operations staff to ensure seamless coordination between the faculty members’ clinical activities and their academic/administrative work.

CORE QUALIFICATIONS

High school diploma or equivalent Minimum 2 years of relevant experience Knowledge, Skills, and Attitudes:

• 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.
• Any appropriate combination of relevant education, experience and/or certifications may be considered.

• 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 time Employee Type: Staff

The mission of the University of Miami is to transform lives through education, research, innovation, and service.

A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation.

The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs.

Visit welcome.miami.edu/about-um to learn more about our points of pride.

The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings.

Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults.

Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019.

The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022.

With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.