Clinical Business Operations Representative 2 - REMOTE

University of Miami; Miami (FL); Remote; USD 40,000 - 60,000; Full time

Job summary

The University of Miami is looking for a Clinical Business Operations Representative 2 to support its Neurology department. This role involves managing patient information, facilitating referrals, and ensuring the smooth operation of clinical processes, all while providing excellent customer service. This position offers a remote option in a dynamic academic medical center, committed to transforming lives through healthcare and education.

Benefits

Comprehensive benefits package

Medical and dental insurance

Tuition remission

Qualifications

• Minimum 1 year of relevant experience.
• Strong organizational skills and attention to detail.

Responsibilities

• Facilitates resolution of pre and post care problems.
• Manages incoming calls and patient information.
• Coordinates appointments and obtains authorizations from insurance.

Skills

Data Entry

Communication

Organizational Skills

Customer Service

Education

High school diploma or equivalent

Job description

Clinical Business Operations Representative 2 - REMOTE page is loaded

Clinical Business Operations Representative 2 - REMOTE

Apply locations Miami, FL time type Full time posted on Posted 30+ Days Ago job requisition id R100084162

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 using the Career worklet, please review this tip sheet .

Clinical Business Operations Representative 2

***Remote Option Available***

The University of Miami/UHealth department of Neurology has an exciting opportunity for a Full Time Clinical Business Operations Representative 2 to work at the UHealth Medical Campus. 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 incoming calls, 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.

• 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.

• Process incoming referrals for new and existing patients.

• Verify referral accuracy, ensuring all required information is complete.

• Communicate with referring providers and patients to address missing or incomplete details.

• Obtain prior authorizations from insurance companies for diagnostic tests, procedures, and treatments.

• Submit the necessary clinical documentation and forms to insurance providers.

• Follow up on authorization requests to ensure timely approval and resolve any denials or delays.

• Provide department with updates on their referral and authorization statuses.

• Coordinate with neurology providers and clinic staff to schedule appointments upon approval.

• Maintain detailed logs of all referrals and authorizations on PA tracker.

• Generate weekly or monthly reports to track referral volumes, approval times, and outstanding authorizations.

• Ensure compliance with departmental and institutional policies for referral and authorization processes.

• Provide excellent customer service to ensure a positive patient experience.

• Resolve issues related to referral errors, authorization denials, or delays.

• Work with insurance companies to appeal denied authorizations when necessary.

• This role requires strong organizational skills, attention to detail, knowledge of medical insurance policies, and the ability to provide excellent service to both patients and clinical staff.

This 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 equivalent

• Minimum 1 year 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.

• Skills in collecting, organizing, and analyzing data.

• Ability to work independently and/or in a collaborative environment.

• Commitment to the University’s core values.

Any relevant education, certifications and/or work experience 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 - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:

Full time

Employee Type:

Staff

Pay Grade:

H4

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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.

Transforming lives

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 is committed to fostering a culture of belonging, where everyone feels valued and has the opportunity to add value. Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create an environment driven by purpose, excellence, community, and service.