Clinical Business Operations Representative 3 (H)

University of Miami; Miami (FL); Hybrid; USD 42,000 - 54,000; Full time

Job summary

The University of Miami/UHealth Department of Otolaryngology is seeking a hybrid, full-time Clinical Business Operations Representative 3 to support daily clinical operations in Miami, FL. This role handles front-desk duties, patient data collection, insurance information, and pre- and post-care coordination with courtesy and professionalism.

Key duties include triaging calls, welcoming visitors, reviewing records for completeness, maintaining confidentiality, and ensuring adherence to service

Qualifications

• High School Diploma or equivalent/relevant experience, certification or license.
• Minimum 2 years of relevant experience required.
• Strong learning agility, teamwork and effective communication.

Responsibilities

• Answer incoming calls, greet visitors, manage patient information and records.
• Review clinical records for completeness, including authorizations and signatures.
• Coordinate pre- and post-care and ensure adherence to service standards.
• Triages calls, documents messages, and communicates with physicians and staff.
• Maintain confidentiality and use office software for daily operations.

Skills

Learning Agility

Teamwork

Technical Proficiency

Communication

Education

High School Diploma or equivalent/relevant experience

Job description

The University of Miami/UHealth Department of Otolaryngology has an exciting opportunity for a hybrid, full time Clinical Business Operations Representative 3 to work in Miami, FL. 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.

Core Job Functions

• 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.

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.

Qualifications

CORE QUALIFICATIONS

Education: High School Diploma or equivalent/relevant experience, certification or license

Experience:

Minimum 2 Years Of Relevant Experience Required

Knowledge, Skills and Abilities:

• Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.
• Teamwork: Ability to work collaboratively with others and contribute to a team environment.
• Technical Proficiency: Skilled in using office software, technology, and relevant computer applications. - Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.

DEPARTMENT ADDENDUM

Department Specific Functions

• Ability to strategically multi-task a variety of competing deadlines and requests
• Completes Faculty Credentialing renewals, Medical License Renewal, DEA Renewal and all necessary licensing renewals, including CME tracking and reporting.
• Completes Reimbursements in accordance with organizational guidelines,.
• Experience with office management and productivity technologies (Excel, Microsoft, etc.)
• Update Faculty CV and prepare documents, agendas, letters, reports, and presentation slides
• Record management including uploading of outside records and alerting provider
• Monitors progress and follows-through on assigned projects to successful completion
• Seeking authorization for outside facility testing, as needed.
• Open and distribute mail
• Submits Physician Leave Requests for Providers’ time off
• Confirm and reschedule clinical appointments for assigned providers
• Provide coverage within the department as needed
• Complete Yearly Membership Renewals Screen and triage telephone calls from patients and properly document them in UChart for physicians, fellows, nurses or surgical coordinator to return phone calls
• Actively review and resolve Customer Relationship Management (CRMs) notifications
• Coordinate meetings and depositions Maintain UChart in-basket

This is a core job profile description and is not reflective of all duties that may be assigned to a specific position in each individual department. The above statements are intended to describe the general nature and primary responsibilities of this core job profile. Specific duties and tasks may vary based upon departmental needs. Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job.

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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