Clinical Business Operations Representative 3 (Remote/ Hybrid)

University of Miami•Miami, FL

10d•Hybrid

About The Position

The University of Miami/UHealth Department of OBGYN has an exciting opportunity for a full-time Clinical Business Operations Representative 3 (H) to work in Miami, FL. The Clinical Business Operations Representative 3 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, to include answering incoming calls, efficient management of patients, and the acquisition of necessary patient care and records. The Clinical Business Operations Representative 3 assists patients in a courteous, efficient and professional manner and ensures adherence to divisional and departmental service standards.

Requirements

High School Diploma or equivalent/relevant experience, certification or license
Minimum 2 years of relevant experience required
Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.
Teamwork: Ability to work collaboratively with others and contribute to a team environment.
Technical Proficiency: Skilled in using office software, technology, and relevant computer applications.
Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.

Nice To Haves

Any relevant education, certifications and/or work experience may be considered.

Responsibilities

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: 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.
Function as the primary on phones.
Answer phones and provide patients with the assistance/guidance they seek.
Scheduling/Rescheduling appointments of new and established patients.
Managing provider’s bump lists and re-scheduling, with occasional assistance, within 48 hours of receiving the bump list.
Look at schedules a week prior to check if language interpreters are needed and if so, if they have been requested; if not, request.
Confirm patient appointments for the next week/next few days.
Receive and open packages.
Complete clerical paperwork.
May provide support for seeking authorization.
Respond to all Inbaskets in a timely manner (what is considered timely is defined by the division).
Confirm appointments with patients regularly.
Submission of relevant paperwork on behalf of our doctors.
May be asked to manage the letter of medical necessity process.
Other duties as assigned.