Clinical Business Operations Representative

University of Miami•Miami, FL

1d•Onsite

About The Position

The Department of Orthopedics is currently seeking a full time Clinical Business Operations Representative to work in Miami, FL. The Clinical Business Operations Representative 1 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 1 assists patients in a courteous, efficient and professional manner and ensures adherence to divisional and departmental service standards.

Requirements

High school diploma or equivalent
No previous experience
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.

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: 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.
Assists in managing expectations and logistics related to patient care before and after orthopaedic procedures, ensuring alignment with surgical protocols, rehabilitation plans, and follow-up schedules.
Accurately obtains and verifies patient demographic data, insurance details, and referral/authorization information specific to orthopaedic services and procedures.
Reviews orthopaedic clinical records for accuracy and completeness, including pre-surgical authorizations, provider signatures, operative reports, and other relevant clinical documentation.
Answers multiple phone lines for the orthopaedics department, triages patient and provider calls regarding appointments, imaging, surgical scheduling, and post-operative concerns, and documents communication in the appropriate systems (e.g., Epic).
Works closely with surgeons, advanced practice providers, medical assistants, radiology technicians, and schedulers to ensure smooth clinic and surgical workflows.
Provides coverage for team members handling orthopaedic scheduling, pre-authorizations, and clinic coordination as needed during absences or high-volume periods.
Promotes efficient communication among orthopaedic surgeons, practice managers, trainees, residents, and support staff to ensure alignment on clinical and administrative priorities.
Maintains strict confidentiality of patient health information, including imaging and surgical data, in accordance with HIPAA and departmental guidelines.
Adheres to all University policies and orthopaedic-specific procedures, ensuring proper use of resources and compliance with clinical, operational, and financial standards.
Assists with coordination of orthopaedic surgical care overload by managing provider schedules, obtaining authorizations, scheduling surgeries and post-operative appointments, and ensuring accurate documentation and timely communication with patients and surgical teams.
Serves as a key administrative liaison for patients and staff by answering high-volume calls, assisting with clinic workflows, verifying insurance and referrals, and collaborating with providers and departments to maintain efficient pre- and post-operative care.