Clinical Business Operations Representative

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Clinical Business Operations Representative

The University of Miami/UHealth Department of Surgery has an exciting opportunity for a Full Time, Clinical Business Operations Representative to work in Miami.  

Core Job Summary:

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 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 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:

• Answer patient calls professionally.

• Schedule new patient consultations for surgical providers.

• Review referral information prior to scheduling.

• Ensure referrals are assigned to the appropriate surgical specialty.

• Coordinate urgent and priority appointments.

• Provide appointment preparation instructions.

• Fill canceled appointment slots.

• Maintain clinic scheduling accuracy.

• Receive internal and external referrals.

• Verify referral requirements.

• Obtain missing clinical documentation.

• Track pending referrals.

• Contact referring offices.

• Monitor referral turnaround times.

• Ensure referral closure in Epic.

• Coordinate required authorizations.

• Ensure authorization approval before visits.

• Escalate urgent authorization requests.

• Appointment reminders.

• Follow-up scheduling.

• Referral outreach.

• Authorization updates.

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

• 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.

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