Clinical Operations & Patient Care Specialist

University of Miami; Miami (FL); On-site; USD 40,000 - 50,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Tuition remission

Job summary

University of Miami Health System is seeking a Clinical Business Operations Representative 2 to support efficient pre and post care processes within daily clinical operations. You will perform general administrative and receptionist duties, manage patient flow, answer calls, and gather patient information.

This role emphasizes collaboration with physicians and staff, adherence to service standards, confidentiality, and use of Epic for patient coordination; evening or weekend shifts may be

Qualifications

• High school diploma or equivalent.
• Minimum 1 year 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.
• Any appropriate combination of relevant education, experience and/or certifications may be considered.

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.
• Coordinate multidisciplinary care plans involving Gynecologic Oncology providers, surgical services, infusion services, radiation oncology, imaging, pathology, and ancillary departments.
• Facilitate, as needed, the timely acquisition and review of outside medical records, pathology reports, imaging studies, and operative reports to support new patient consultations and treatment planning.
• Coordinate scheduling of surgeries and procedures across University of Miami Health System and Jackson Memorial Hospital facilities, ensuring required documentation, consents, authorizations, and pre-operative testing are completed.
• Obtain and manage prior authorizations for surgical procedures as required.
• Coordinate peer-to-peer reviews and appeals for denied services to minimize delays in patient care.
• Review, maintain, and optimize physician and APRN scheduling templates in accordance with departmental access standards and provider availability.
• Document and manage patient care coordination activities within Epic and other approved communication platforms.
• Collaborate with clinical and operational leadership to identify workflow improvements and support department quality initiatives.

Skills

Data entry

Communication

Flexible hours

Data analysis

Independent work

Teamwork

Education

High school diploma or equivalent

Job description

University of Miami Health System is seeking a Clinical Business Operations Representative 2 to support efficient pre and post care processes within daily clinical operations. You will perform general administrative and receptionist duties, manage patient flow, answer calls, and gather patient information.

This role emphasizes collaboration with physicians and staff, adherence to service standards, confidentiality, and use of Epic for patient coordination; evening or weekend shifts may be