Clinical Business Operations Representative (Hybrid)

University of Miami; Miami, Northern (FL, KY); Hybrid; USD 42,000 - 64,000; Full time

Job summary

The University of Miami invites applications for a Clinical Business Operations Representative (Hybrid) in Miami, FL. This role supports pre- and post-care processes, handles patient inquiries, and helps maintain accurate records across clinical operations.

You will obtain demographics and insurance information, triage calls, coordinate with Radiology scheduling, and ensure HIPAA compliance while delivering courteous, professional service.

Qualifications

• High school diploma or equivalent required.
• One year medical experience preferred.
• Ability to communicate effectively in written and oral form.
• Data entry with minimal errors and strong organization.

Responsibilities

• Assist with pre and post patient care and scheduling.
• Obtain patient demographics, insurance information and referrals.
• Answer multi-line phones, triage calls, and document messages.
• Ensure records accuracy and HIPAA compliance.

Skills

Data entry

Effective communication

Evenings / nights / weekends

Data analysis

Independent work

Commitment to values

Education

High school diploma or equivalent

Tools

PACS

UChart

Job description

Clinical Business Operations Representative (Hybrid) page is loaded## Clinical Business Operations Representative (Hybrid)remote type: Hybridlocations: Miami, FLtime type: Full timeposted on: Posted Todayjob requisition id: R100101130**Current Employees:**If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this .The Clinical Business Operations Representative 1 (Hybrid) 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 1 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: 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.***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 required.* No previous experience required. One (1) year medical preferred.**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.**DEPARTMENT ADDENDUM****Department Specific Functions**Collaborates with Radiology Central Scheduling department to manage over-booking/under-booking, identify add-on and reschedule exams. Ensure that orders are appropriate to the type of exam recommended by physician. Notify supervisor of any discrepancies. Contact the physician's office for correct orders if necessary. Applies physical age-specific and/or developmental care needs of patients according to their documented physical/development requirement by competency validation checklist:ChildrenAdolescentsAdultsGeriatricChallenged/DisabledAdheres to any regulatory body guidelines governing modality including but not limited to: Joint Commission, AHCA, ACR, FL DOH and FDA/MQSA. Imports/Exports pertinent patient images/documents into PACS and/or UChart. Review future daily scheduled orders for accuracy and prepare supporting documentation, additionally obtain any necessary additional orders. Acts as point of contact for other departments to answer pertinent questions involving appropriate exams ordered, scheduling criteria, add-on studies. Contact patients daily to confirm appointments and provide all appointments and prep instructions. Acts as point of contact for other departments to answer pertinent questions involving appropriate exams ordered, scheduling criteria, add-on studies. Notify on-site insurance verifiers via email of any same day or next day appointments. Inform patient of any pending authorization and deductible requirements on their behalf prior to have the exam performed. Works with the referring physician offices to acquire missing requisitions, obtains orders, if necessary, and to confirm correct clinical information. Coordinating services with other clinical areas. Assists with keeping the imaging area neat, clean, and organized as well as complies with proper disposal of medical supplies. Import/Export pertinent patient documents and images into PACS and/or UChart. Perform general office duties in a timely and accurate fashion. Support the workflow at the UM Imaging counters to import/export digital studies, documents to/from PACS or UChart and process film jacket/CDs requests via telephone, fax and/or in person. Fulfill digital imaging record inquiries via in person, fax, telephone, subpoenas, and legal requests.May release digital information and/or ensure the availability of records to the patients, physicians and clinical staff for all studies and procedures. Manage document services with records retention vendor. Support the workflow at the counter to receive and process film jacket/CDs requests for the counter and/or ancillary areas via telephone, fax and/or in person. Ensures a high degree of customer satisfaction by consistently adhering to our DIRECCT values. Assist with the department onboarding and training of staff. Complies with the hospital requirements, Joint Commission for Accreditation of Healthcare Organizations, State requirements and works closely with the HIPAA Privacy Office to ensure HIPAA compliance.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:**StaffThe 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 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