Clinical Business Operations Representative 3

University of Miami; Florida; On-site; USD 42,000 - 54,000; Full time

Job summary

The University of Miami/UHealth Department of Surgery has an exciting Full Time opening for a Clinical Business Operations Representative 3 to support daily clinical operations in Miami. The role focuses on pre- and post-care processes, patient management, and documentation with a focus on courteous, professional service.

You will handle patient intake, insurance information, scheduling coordination, and communication with physicians, nurses and staff while maintaining confidentiality and

Qualifications

• Ability to input and verify patient data with accuracy
• Strong communication skills for patients and staff
• Ability to adapt to varying schedules including evenings/weekends
• Capable of working independently or within a team
• Demonstrates commitment to University values and standards

Responsibilities

• Assists with managing expectations around pre- and post-patient care.
• Obtains and reviews patient demographic, insurance, and referral information.
• Reviews clinical records for completeness including authorization and signatures.
• Answers phones, triages calls, directs inquiries, and documents messages.
• Greets visitors and directs them to the appropriate staff.
• Maintains confidentiality and adheres to policies.
• Develops effective communication with physicians, managers, peers, and staff.

Skills

Data entry

Effective communication

Flexible schedule

Independent / collaborative work

Commitment to university values

Education

High school diploma or equivalent

Job description

Clinical Business Operations Representative 3

The University of Miami/UHealth Department of Surgery has an exciting opportunity for a Full Time, Clinical Business Operations Representative 3 to work in Miami.

Core Job Summary:

The Clinical Business Operations Representative 3 (H) 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 (H) 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.
• 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 incoming telephone calls by the 4th ring.Confirm appointments dailyCall No Shows daily to reschedule their missed appointmentsWork on disposition notes from Workqueue to ensure return to clinic appointments have been madeReview schedules to confirm appointments are scheduled in the correct slot. This allows for the new patient slots to be available for new patients.Rescheduling patients affected by PLR clinic closuresRespond to secure chat messages sent by providers, nurses and clinic personnelSchedule all patients for appointments with Dr. Kutlu, Dr. Cubas, Jennifer Parra, APRN, Mario Gomez, APRN, Noel Emmanuelli, ND, Margaret Gutierrez, PhD, RD, Alina Miro, RD. Shirley Gazabon, PhDAdd all patients in Bariatric Surgery journey to "Exemplo". Add any visits, comments etc. to track the patient's progressVerify with insurances all patients for Bariatric Surgery coverage and Nutrition coverage. This is not done by CIV as not all policies have this coverage.Schedule patients for surgeryCoordinate/schedule Anesthesia clearance, PCP visits, labs, UGIs etc.Daily monitoring of patients scheduledWork up and schedule patients from the AMB Bariatric Surgery WQ referralsWork up and schedule patients from the AMB Metabolic WQ referralsWork up CRM requestsSchedule patients from online appointment requestsAssigned coordinator meets with the patient on their 1st visit with the surgeon to review the process, obtain signatures, schedule all future appointments.The Bariatric Surgery coordinator is the liaison between the patients, providers and clinical team. This requires daily monitoring to ensure patients have had necessary visits, work up etc completed before their Bariatric SurgeryProvide patients with educational materials, answer patient questions/concern,s as well as ongoing support throughout the Bariatric Surgery journey.Work with patients that will use "Care Credit" for payment. Enter in Care Credit site. Work with Patient Access for posting in Epic.All self-pay payments are submitted to billing team for proper postingThis 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 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.

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