Clinic Business Operations Representative

University of Miami•Miami, FL

1d•Onsite

About The Position

The Clinical Business Operations Representative 1 facilitates the prompt resolution of problems related to pre and post care that אשר 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. 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. 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.

Requirements

High school diploma or equivalent required.
No previous experience required.
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.

Nice To Haves

One (1) year medical preferred.

Responsibilities

Facilitates the prompt resolution of problems related to pre and post care that arise in daily clinical operations.
Performs general administrative and receptionist functions, including answering incoming calls, efficient management of patients, and acquisition of necessary patient care and records.
Assists patients in a courteous, efficient, and professional manner and ensures adherence to divisional and departmental service standards.
Manages 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, triages 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.
Ensures that orders are appropriate to the type of exam recommended by physician and notifies supervisor of any discrepancies.
Contacts the physician’s office for correct orders if necessary.
Applies physical age-specific and/or developmental care needs of patients according to their documented physical/development requirement by competency validation checklist: Children, Adolescents, Adults, Geriatric, Challenged/Disabled.
Adheres to any regulatory body guidelines governing modality including but not limited to: Joint Commission, AHCA, ACR, FL DOH and FDA/MQSA.
Imports/Exports pertinent patient images/documents into PACS and/or UChart.
Reviews future daily scheduled orders for accuracy and prepares supporting documentation, additionally obtains any necessary additional orders.
Acts as point of contact for other departments to answer pertinent questions involving appropriate exams ordered, scheduling criteria, add-on studies.
Contacts patients daily to confirm appointments and provide all appointment and prep instructions.
Works with the referring physician offices to acquire missing requisitions, obtains orders, if necessary, and to confirm correct clinical information.
Coordinates services with other clinical areas.
Assists with keeping the imaging area neat, clean, and organized as well as complies with proper disposal of medical supplies.
Performs general office duties in a timely and accurate fashion.
Supports the workflow at the UM Imaging counters to import/export digital studies, documents to/from PACS or UChart and process film jacket/CDs requests via telephone, fax and/or in person.
Fulfills digital imaging record inquiries via in person, fax, telephone, subpoenas, and legal requests.
May release digital information and/or ensure the availability of records to the patients, physicians and clinical staff for all studies and procedures.
Manages document services with records retention vendor.
Supports the workflow at the counter to receive and process film jacket/CDs requests for the counter and/or ancillary areas via telephone, fax and/or in person.
Ensures a high degree of customer satisfaction by consistently adhering to our DIRECCT values.
Assists with the department onboarding and training of staff.
Complies with the hospital requirements, Joint Commission for Accreditation of Healthcare Organizations, State requirements and works closely with the HIPAA Privacy Office to ensure HIPAA compliance.