Clinical Business Operations Specialist

University of Miami•Miami, FL

18h•Onsite

About The Position

The department of Medicine has an exciting opportunity for a full-time Clinical Business Operations Specialist to work on the UHealth campus. 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.
Any appropriate combination of relevant education, experience and/or certifications may be considered.

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.
Oversee workload of six CBORs across Rheumatology and Nephrology.
Provide administrators with feedback regarding CBORs’ NICE data and calls auditing.
Monitor NICE compliance, audit calls, and deliver targeted training.
Mentor and onboard new staff members.
Develop CBOR schedules and manage coverage to maintain consistent phone support.
Resolve patient concerns and escalate to Nurse Navigator or Division Administrator when necessary.
Provide backup for incoming calls during peak periods.
Participate in biweekly optimization meetings to improve workflows.
Identify operational inefficiencies and recommend enhancements to improve patient service.
Collaborate with leadership to address clinical mission priorities and strategic requests.
Recommend initiatives to boost clinical performance and operational efficiency.
Continuously refine system processes and ensure staff compliance with UChart, managed care, and operational training requirements.
Serve as liaison with UHealth Connect and Clinic Managers to ensure scheduling and billing requirements are met.
Provide faculty support for front-end and clinical operational issues as needed.