Clinical Business Operations Representative (Remote/ Hybrid)

University of Miami; Miami, Northern (FL, KY); Hybrid; USD 42,000 - 62,000; Full time

Job summary

The University of Miami/UHealth Department of Obstetrician & Gynecologist (OBGYN) is seeking a full-time Clinical Business Operations Representative in Miami, FL to support daily clinical operations. You will handle patient intake, records and insurance data, and triage calls with professionalism and confidentiality.

Core duties include coordinating pre/post care, reviewing records for completeness, scheduling appointments, and ensuring patient flow aligns with department standards.

Qualifications

• High school diploma or equivalent.
• Three years of relevant experience in a high-volume medical setting.
• Strong data entry skills with minimal errors.
• Excellent written and verbal communication.
• Ability to work evenings, nights, and weekends.
• Knowledge of medical terminology.
• Ability to manage multiple tasks simultaneously.

Responsibilities

• Coordinate pre- and post-patient care with the clinical team.
• Answer calls, triage inquiries, and document messages.
• Collect and review patient demographic, insurance and referral information.
• Review clinical records for completeness and accuracy.
• Schedule management and coordination of academic and patient activities.
• Maintain confidentiality and comply with policies.
• Provide courteous, efficient service to patients and families.

Skills

Data entry

Oral and written communication

Customer service

Medical terminology

Multitasking

Teamwork

Attention to detail

Flexible schedule

Education

High School Diploma or equivalent

Job description

The University of Miami/UHealth Department of Obstetrician & Gynecologist (OBGYN) has an exciting opportunity for a full-time Clinical Business Operations Representative to work in Miami, FL.

The Clinical Business Operations Representative facilitates the prompt resolution of problems related to pre and post care that arise in daily clinical operations. The incumbent in this position performs general administrative and receptionist functions, to include answering incoming calls, efficient management of patients, and the acquisition of necessary patient-care and records. This role will also assist patients in a courteous, efficient and professional manner and ensure 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 persons 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

• Responsible for triaging all patient related calls for physicians assigned and documenting accordingly any pertinent information and instructions given by provider and the consequent actions taken.
• Processes and assists with responding to all patient related requests and UChart In-basket messages for assigned pools/providers.
• Responsible for physician’s schedule to coordinate academic and patient related activities.
• Monitors clinical schedule for providers to ensure accuracy of number and types of appointments.
• Review no shows and cancelled appointments as per department policy.
• Follow-up on all results for area of responsibility including but not limited to all lab work, pathology and ancillary testing such as mammograms, ultrasounds, MRIs as directed by providers.
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• Also follow up on any necessary referrals to specialists, procedures as requested by providers.
• Submit requests as needed for any authorizations/referrals for these follow up appointments and procedures.

CORE QUALIFICATIONS

• High school diploma or equivalent
• Minimum 3 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
• Demonstrates sustained high level of proficiency in all aspects of job
• Excellent customer service skills are required
• Strong written and oral communication skills
• Knowledge of medical terminology
• Able to handle multiple tasks simultaneously

Education Requirements (Essential Requirements)

High School Diploma or equivalent.

Work Experience Requirements (Essential Requirements)

Three (3) years of relevant experience including patient telephone and/or face to face contact (or customer service) in a high volume medical office or hospital setting. Any appropriate combination of relevant education, experience and/or certifications 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.

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.