Clinical Business Operations Representative 3- Plantation

University of Miami; United States; On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical benefits

Tuition remission

Competitive salary

Job summary

The University of Miami in Plantation seeks a Full Time Clinical Business Operations Representative 3 to support pre and post care operations. You will perform reception, patient scheduling, data collection, and credentialing tasks while upholding service standards.

You will handle calls, greet patients, review records, coordinate with physicians, and ensure confidentiality. This role requires teamwork, attention to detail, and flexibility to cover evenings and weekends as needed.

Qualifications

• High school diploma or equivalent required.
• Strong data entry skills with minimal errors.
• Excellent written and verbal communication.
• Ability to work independently and in a team.
• Willingness to work evenings, nights, or weekends as needed.
• Ability to collect, organize, and analyze data.

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 incoming calls, triages calls, directs calls, and documents messages.
• Greets visitors and callers and directs them to the appropriate employee.
• Works cooperatively with staff to ensure smooth operational flow.
• Provides coverage for co-workers when needed.
• Develops effective communication with physicians, managers, peers, trainees, and staff.
• Maintains confidentiality and adheres to policies.
• Facilitates pre-visit clinical records and related tasks.

Skills

Data entry

Communication

Independent / collaborative

Data analysis

Education

High school diploma or equivalent

Job description

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

Core Job Summary

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 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

• Complete Durable Medical Equipment Request Forms
• School Physical Form Documentation (Yellow Form)
• Vaccine Record Request Completion (Blue Form)
• Label and collect signature medical records from faxes
• Screen and sort faxes per provider
• Filter and screen patient in‑bound calls
• Screen and transfer clinical in‑basket messages
• Create work/school excuse letters upon provider instructions
• Resolve clerical in‑basket messages
• Resolve patient clerical in‑bound calls
• Facilitate pre‑visit clinical records for new and follow‑up patients (prior notes, exams, procedures, admissions, etc.)
• Schedule peer‑to‑peer providers
• Pick up, sort, and deliver mail to all members of the practice
• Confirm appointments prior to visit dates
• Reschedule patients from the bump list not managed by Uconnect
• Confirm and update demographic information in UChart while taking calls/messages
• Communicate with patients by phone or mail with physician instructions regarding follow‑up appointments and status of authorization for medication or procedures
• Scan/upload medical records into UChart Media Manager
• Manage inbound calls through NICE

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 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.