Clinical Business Operations Representative 1

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The University of Miami/UHealth Department of Psychiatry has an exciting opportunity for a full time Clinical Business Operations Representative 1 to work in Miami, FL.  

The Clinical Business Operations Representative 1 facilitates the prompt resolution of problems related to pre and post care that arise in daily clinical operations. The incumbent performs general administrative and receptionist functions, to include answering incoming calls, efficient management of patients, and the acquisition of necessary patient care and records. The Clinical Business Operations Representative 1 assists patients in a courteous, efficient and professional manner and ensures 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 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.

Department Specific Functions:

• Demonstrate the ability to work both independently and collaboratively with coworkers to achieve team and organizational goals.
• Maintain a call response rate of 90% or higher for all inbound telecommunications routed through NICE In-Contact.
• Provide clinical support to departmental providers.
• Complete weekly clinical preparation for outpatient clinics and provide timely notification to providers.
• Schedule patient appointments accurately and efficiently in accordance with departmental guidelines.
• Initiate and manage prescription prior authorizations.
• Ensure provider clinical letters are accurately prepared, reviewed, and distributed within established time frames.
• Respond to emails from Shared Services departments in a timely and effective manner.
• Review Epic In-Basket and Communication Relationship Management (CRM) messages and respond within 24–48 hours.
• Upload documents and create, attach, and manage referrals through Epic.
• Assist with the daily distribution of e-faxes and departmental mail correspondence.
• Adhere to administrative clinical workflow schedules and attendance policies.
• Maintain strict confidentiality of all patient and departmental information.

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
• No previous experience required
• Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.
• Teamwork: Ability to work collaboratively with others and contribute to a team environment.
• Technical Proficiency: Skilled in using office software, technology, and relevant computer applications.
• Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.

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