Clinical Business Operations Representative

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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 clinical 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 departments in managing expectations surrounding pre- and post-patient care.
• Answers multiple telephones for the department: triage incoming calls, responds to questions, directs calls, and documents messages in the appropriate software.
• Is responsible for monitoring access to new appointments and management of any waiting lists for appointments. 
• Is responsible for managing the UChart In basket messages as assigned.
• Is responsible for initiating, processing, and finalizing the prior authorizations process.
• Answers telephone calls professionally and courteously within five rings introducing the practice as requested by the division.
• Answers telephone calls correctly processing all patient information for messages and patient requests. Enters and routes request to appropriate person within UChart
• Maintains professional relationships with all physicians.
• Works to establish and maintain good working relationships with fellow employees.
• Provides coverage for responsibilities of co-workers when assigned or as need arises.
• Follows instructions of and assists supervisory staff as required.
• Develops and promotes the use of effective methods of communicating with physicians, managers, peers, trainees, and staff on a regular basis.
• 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.
• Greets 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.
• 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. 

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

Knowledge, Skills and Attitudes:

• 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.

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