U

University of Miami

Research university in Coral Gables, FL

Clinical Business Operations Representative 3

Clinical Support & Patient AdministrationUpdated on Nov 9
Full-timeMiami, FL, USANo salary listedHybrid

About the Job

Requirements

  • A high school diploma or equivalent, relevant experience, certification, or license is required.
  • At least 2 years of relevant experience is required.
  • The candidate must be able to learn new procedures, technologies, and protocols and adapt to changing priorities and work demands.
  • The candidate must be skilled in using office software, technology, and relevant computer applications.
  • The candidate must have strong written and verbal communication skills for interacting with colleagues and stakeholders.

Responsibilities

  • Facilitate prompt resolution of problems related to pre- and post-care in daily clinical operations and perform general administrative and receptionist functions, including answering calls, managing patients efficiently, and acquiring necessary patient care and records.
  • Assist the department in managing expectations surrounding pre- and post-patient care.
  • Obtain or review patient demographic information, insurance information, and referral numbers.
  • Review clinical records for completeness, including authorization, signatures, missing data, and other patient information.
  • Answer multiple department telephones by triaging incoming calls, responding to questions, directing calls, and documenting messages in the appropriate software.
  • Greet visitors and callers, handle their inquiries, and direct them to the appropriate employee according to their needs.
  • Work cooperatively with fellow employees to solve problems and support the smooth and efficient flow of the practice.
  • Provide coverage for coworkers' responsibilities when assigned or as needed.
  • Develop and promote effective communication methods with physicians, managers, peers, trainees, and staff.
  • Adhere to University and unit-level policies and procedures and safeguard University assets.
  • Coordinate and manage patient scheduling for the Epilepsy Monitoring Unit, Home EEGs, Video EEG admissions, and epilepsy clinic appointments, ensuring timely access to care and efficient resource utilization.
  • Serve as a primary contact for patients and families, providing guidance about EMU admissions, Home EEG referral requirements, appointment preparation, and post-visit follow-up expectations.
  • Obtain, verify, and maintain patient demographic information and insurance coverage, and confirm referrals and authorizations required for epilepsy-related procedures, appointments, and testing.
  • Review clinical records for completeness and accuracy, ensuring required documentation, physician orders, prior authorizations, and supporting clinical information are in place before scheduling services.
  • Manage high volumes of incoming calls and electronic communications by triaging patient concerns, coordinating care, answering questions about epilepsy services, and routing messages appropriately.
  • Collaborate with physicians, EEG technologists, nursing staff, inpatient units, and administrative personnel to coordinate EMU admissions, diagnostic testing, and patient flow.
  • Monitor scheduling capacity and support efficient management of EMU resources to reduce delays, maximize utilization, and improve patient access.
  • Provide cross-coverage and operational support to team members during periods of high patient volume, staffing shortages, or increased demand for epilepsy services.
  • Communicate with providers, trainees, leadership, and staff regarding scheduling priorities, patient care needs, testing requirements, and operational updates.
  • Maintain confidentiality of patient information and ensure compliance with University policies, HIPAA regulations, and departmental procedures.
  • Support epilepsy care by managing the coordination and administrative workload associated with a high-volume epilepsy practice.

About the Company

University of Miami

Research university in Coral Gables, FL

The University of Miami is a private research university focused on education, discovery, and service, with undergraduate, graduate, and professional programs.

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