Remote Clinical Operations & PA Specialist

University of Miami; Miami, Northern (FL, KY); Hybrid; USD 42,000 - 56,000; Full time

Job summary

The University of Miami in South Florida is seeking a Clinical Business Operations Representative 3 to support remote pre- and post-care operations. You will handle patient intake, insurance verification, and PA workflows, ensuring timely care and accurate records.

Join a collaborative team in the UHealth system, delivering courteous, professional service while maintaining confidentiality and meeting departmental standards.

Qualifications

• High School Diploma or equivalent/relevant experience, certification or license.
• Minimum 2 years of relevant experience required.
• Learning agility, teamwork, technical proficiency and communication

Responsibilities

• Assists pre- and post-care processes to prevent patient delays and ensure smooth operations.
• Answers incoming calls, greets visitors, and directs inquiries to the appropriate staff.
• Reviews patient demographics, insurance information and referrals for completeness.
• Processes and tracks Prior Authorizations for medications, procedures, imaging and services.
• Verifies active insurance, updates records and documents PA activity and outcomes.
• Maintains confidentiality and adheres to policies; collaborates with clinicians and staff.

Skills

Learning Agility

Teamwork

Technical Proficiency

Communication

Education

High School Diploma or equivalent

Job description

The University of Miami in South Florida is seeking a Clinical Business Operations Representative 3 to support remote pre- and post-care operations. You will handle patient intake, insurance verification, and PA workflows, ensuring timely care and accurate records.

Join a collaborative team in the UHealth system, delivering courteous, professional service while maintaining confidentiality and meeting departmental standards.