Clinical Business Operations Representative 2

University of Miami•Miami, FL

4d•Onsite

About The Position

The Clinical Business Operations Representative 2 position 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, including answering incoming calls, efficient management of patients, and the acquisition of necessary patient care and records. This role assists patients in a courteous, efficient, and professional manner, ensuring adherence to divisional and departmental service standards, and manages expectations surrounding pre and post patient care. The position involves obtaining or reviewing patient demographic and insurance information, referral numbers, and reviewing clinical records for completeness. It also includes answering multiple telephones, greeting visitors, working cooperatively with colleagues, and providing coverage for co-workers. The role promotes effective communication and maintains confidentiality, adhering to University and unit-level policies and procedures.

Requirements

High school diploma or equivalent
Minimum 3 year of relevant experience

Nice To Haves

Experience with PACS and/or UChart
Knowledge of Joint Commission, AHCA, ACR, FL DOH and FDA/MQSA guidelines
Experience with MRI screening questionnaires
Experience scheduling breast exams, biopsies, and localization procedures
Experience coordinating services with other clinical areas
Experience with records retention vendors
Familiarity with DIRECCT values

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, to include answering incoming calls, efficient management of patients, and the 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: 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.
Reviews future daily scheduled orders for accuracy and prepare supporting documentation, as well as obtain any necessary additional orders.
Works with the referring physician offices to acquire missing orders, if necessary, and to confirm correct clinical information.
Contacts patients daily to confirm appointments and provide all appointments and prep instructions.
Requests/submits patient records and images, when necessary, from/to archives and HIM to ensure all prior imaging studies are available in time of services.
Directs patient to the dressing room and prepares patient for imaging.
Imports/Exports pertinent patient documents and images into PACS and/or UChart.
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.
Reviews MRI screening questionnaire and confirm accuracy of information provided.
Accurately schedules recall breast exams, breast biopsies, fine needle localization and stereotactic biopsies with patients or referring offices.
Acts as point of contact for other departments to answer pertinent questions involving appropriate exams ordered, scheduling criteria, add-on studies.
Coordinates services with other clinical areas.
Performs general office duties in a timely and accurate fashion.
Participates in the training of other personnel within the department.
Assists with keeping the imaging area neat, clean, and organized as well as complies with proper disposal of medical supplies.
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.
Ensures proper distribution of radiology reports to ordering physicians.
Maintains accurate and complete clerical systems and records.
May release of digital information and/or ensure the availability of records to the patients, physicians and clinical staff for all studies and procedures via in person, fax, telephone, subpoenas, and legal undefined undefined.
Manages document services with records retention vendor.
Ensures a high degree of customer satisfaction by consistently adhering to our DIRECCT values.
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.