Full-Time
Clinical Business Operations Representative 1
H
University of Miami
No salary listed
Company Does Not Provide H1B Sponsorship
Miami, FL, USA
In Person
Category
 Business & Strategy (1) |
|---|
Requirements
- High school diploma or equivalent
- Minimum 2 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
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.
- Assist with the coordination of the day-to-day providers’ clinical activities within the assigned clinical area/service line.
- Ensures that clinic exam rooms are clean, orderly, and well stocked with necessary supplies.
- Reboots exam room computers and ensures before start of clinic and ensures all applicable software is functioning properly.
- Prints appointment arrivals, verifies testing pre-ordered by the providers, ensure testing are financially cleared.
- Initiates financial clearance by contacting onsite insurance verifier, international department, worker’s comp department.
- Links arrived appointments to the designated area and updates event log through EMR portal.
- Logs patient time of arrival on Daily Physician Schedule ensuring that all patients are accounted for.
- Assists with starting UChart and Merge software images for providers prior to rooming patient.
- Responsible for rooming patients and ensuring timely exam room turnover.
- Uploads external medical records into EMR via UImaging or Radiant/PACS
- Provides necessary clinical information and ensures Workers Comp Forms are completed by the provider before end of clinic.
- Orients patients as to next steps in their experience as well as providing wayfinding information.
- Monitors and facilitates the flow of patients undergoing diagnostic procedures, treatments and /or consultations in other areas/departments within the hospital.
- Frequently rounds on patients and communicates expected wait time and/or reasons for delays.
- Distributes snacks to patients when applicable.
- Provides service recovery as soon as a service breakdown is identified and/or escalates accordingly.
- Utilizes CICare standards to communicate effectively with internal and external customers.
- Links available orders to scheduled ancillary testing appointments and arrives appointments accordingly.
- Schedules appointments for add-on ancillary testing as per orders entered in clinic by faculty.
- Updates event log through UChart EMR portal to ensure patient displays in correct service area.
- Completes patient access functions as rapidly as possible (without compromising quality or service level) in order to minimize the time patients must wait for treatment to begin.
- Prints Advanced Beneficiary Notice (ABN) when applicable, educates patient and secures sign off from patient. Scans ABN form in EMR.
- Check discharge/Check-out orders and coordinate the prompt scheduling of any and all follow up appointment(s)/procedure(s), diagnostic or ancillary services ordered if applicable.
- Determine upon checkout/discharge any pending financial responsibility and collect and post payment(s) accordingly if applicable.
- Schedule external appointments as indicated by provider if applicable.
- Provides After Visit Summary (AVS) when applicable.
- Systematically reflect the checkout/discharge status by carrying out the checkout function and updating the appointment status to complete.
- Answers clinical area’s telephone in a professional and courteous manner adhering to all telephone etiquette standards.
- Prints (upon request by the provider) the refractive prescription from the EMR and/or return to work/school certification.
- Ensures all equipment is in working condition and that cabinets/drawers are locked when unattended.
- Reports malfunctioning exam room equipment and places red ticket/out of order tag(s) on device(s).
- Orders office and medical supplies, adhering to Department policy and within budget.
- Ensures all medications are locked and secured with current expiration dates and discards of expired medications into the Universal Pharmaceutical Waste bin.
- Ensures all instruments used during clinic are transported to the Sterilization Department by the end of the assigned shift.
- Perform other duties as assigned based on departmental needs.
Desired Qualifications
- Any relevant education, certifications and/or work experience may be considered.