Clinical Business Operations Specialist

University of Miami•Miami, FL

1d•Onsite

About The Position

The University of Miami/UHealth Department of Surgery has an exciting opportunity for a Full Time, Clinical Business Operations Specialist to work in Miami. The Clinical Business Operations Specialist serves as a lead to Clinical Business Operations Representatives and facilitates the prompt resolution of highly complex problems related to pre and post care that arise in daily clinical operations. The incumbent performs 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 Specialist assists patients in a courteous, efficient, and professional manner and ensures adherence to divisional and departmental service standards.

Requirements

High school diploma or equivalent
Minimum 3 years of relevant 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.
Provides guidance and support to Clinical Business Operations Representatives and assists with training and continuous improvement.
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.
Works closely with Sub-section Chief for Surgical Oncology and breast providers
Works as lead for this service line
Reschedules patients from bump lists when a provider is off boarding and works with the providers/medical team in reassigning patients
Works with high volume providers and has constant communication with them.
Reviews provider clinics for overbooks and works with providers on where to place patients.
Does all check out appointments for specific providers
Contacts and reschedules patients if appointment not appropriate for surgeon but for APRN due to diagnosis
Answer incoming telephone calls by the 4th ring.
Confirm appointments daily
Works CRM WQ daily
Work Ambulatory Referral WQ daily
Call No Shows daily to reschedule their missed appointments
Work on disposition notes to ensure return to clinic appointments have been made
Works Follow up WQ.
Make sure appointments are scheduled correctly using the SDG (Site Disease Group) so that nurse navigation can do intake and obtain records
Review schedules to confirm appointments are scheduled in the correct slot. This allows for the new patient slots to be available for new patients.
Work up and respond to a high volume of incoming emails from providers, navigation, clinics, appointment escalation requests and patient emails
Rescheduling patients affected by PLR clinic closures
Respond to secure chat messages sent by providers, nurses and clinic personnel