Clinical Business Operations Representative 1

University of Miami•Miami, FL

12d•Onsite

About The Position

The University of Miami/UHealth Department of Psychiatry is hiring a full-time Clinical Business Operations Representative 1 in Miami, Florida. The role facilitates prompt resolution of problems related to pre- and post-care in daily clinical operations. It performs administrative and receptionist functions, including answering calls, managing patients efficiently, and obtaining necessary patient-care information and records. The representative assists patients courteously, efficiently, and professionally while meeting divisional and departmental service standards. The position supports clinical operations by coordinating patient information, appointments, records, referrals, communications, and related administrative workflows. The representative works independently and collaboratively with colleagues, supports departmental providers, maintains confidentiality, and follows University and unit-level policies and procedures. Duties may be expanded as necessary.

Requirements

High school diploma or equivalent.
No previous experience required.
Ability to learn new procedures, technologies, and protocols and adapt to changing priorities and work demands.
Ability to work collaboratively with others and contribute to a team environment.
Skill in using office software, technology, and relevant computer applications.
Strong written and verbal communication skills.

Responsibilities

Assist the department in managing expectations surrounding pre- and post-patient care.
Obtain or review patient demographic and insurance information and referral numbers.
Review clinical records for completeness, including authorizations, signatures, missing data, and other patient information.
Answer and triage multiple departmental telephone lines, 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 colleagues to solve problems and support the smooth and efficient flow of the practice.
Provide coverage for coworkers’ responsibilities when assigned or needed.
Promote effective communication with physicians, managers, peers, trainees, and staff.
Maintain confidentiality and safeguard University assets while adhering to University and unit-level policies and procedures.
Work independently and collaboratively to achieve team and organizational goals.
Maintain a call response rate of 90% or higher for inbound telecommunications routed through NICE In-Contact.
Provide clinical support to departmental providers.
Complete weekly clinical preparation for outpatient clinics and notify providers in a timely manner.
Schedule patient appointments accurately and efficiently according to departmental guidelines.
Initiate and manage prescription prior authorizations.
Prepare, review, and distribute provider clinical letters accurately within established time frames.
Respond to Shared Services department emails 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 daily distribution of e-faxes and departmental mail correspondence.
Follow administrative clinical workflow schedules and attendance policies.
Maintain strict confidentiality of patient and departmental information.