Clinical Business Operations Representative 1 (H)

University of Miami•Miami, FL
•Onsite

About The Position

The University of Miami/UHealth Department of Dermatology is hiring a full-time Clinical Business Operations Representative 1 in Miami, Florida. This position facilitates the prompt resolution of issues related to pre- and post-care in daily clinical operations. It performs general administrative and receptionist functions, including answering incoming calls, managing patients efficiently, and obtaining necessary patient-care information and records. The representative assists patients courteously, efficiently, and professionally while ensuring adherence to divisional and departmental service standards. Department-specific work includes providing after-visit care follow-up for patients in Dermatology’s triage division across a multi-location practice with 35 faculty members. The representative handles patient calls and voicemail concerning postoperative care, instructions, medications, laboratory tests, and related questions, serving as a liaison between physicians and patients. The role also involves reviewing patient records, completing daily call and prior-authorization logs, coordinating care and insurance requirements with physicians, and providing cross-coverage for inbox review and assigned faculty aftercare teams.

Requirements

  • High school diploma or equivalent.
  • No previous experience required.
  • Skill in data entry with minimal errors.
  • Ability to communicate effectively in 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.
  • An appropriate combination of relevant education, experience, and/or certifications may be considered.

Responsibilities

  • 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 authorizations, signatures, missing data, and other patient information.
  • Answer multiple department telephones, triage incoming calls, respond to questions, direct calls, and document messages in the appropriate software.
  • Greet visitors and callers, handle inquiries, and direct them to appropriate employees.
  • 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 with physicians, managers, peers, trainees, and staff.
  • Maintain confidentiality of all information.
  • Adhere to University and unit-level policies and procedures and safeguard University assets.
  • Provide after-visit care follow-up for Dermatology triage patients across the multi-location, 35-faculty practice.
  • Receive patient calls and voicemail about postoperative care, instructions, medication questions, laboratory tests, and related matters, acting as a liaison between physicians and patients.
  • Review patient records.
  • Complete daily call logs and prior-authorization logs on departmental BOX.
  • Communicate and coordinate care and insurance requirements with physicians.
  • Provide cross-coverage for inbox review and for aftercare teams assigned to faculty, as needed.
  • Perform other duties as assigned.

Benefits

  • Medical benefits
  • Dental benefits
  • Tuition remission
  • Other benefits are offered as part of a comprehensive benefits package.
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