Clinical Business Operations Representative

Job description

Job location: Miami, FL


Employment Type: Full-time
Posted data: 2020-10-06
Req: R100041970
Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.

Transforming Lives

The University of Miami is among the top research universities and academic medical centers in the nation, and one of the largest private employers in South Florida.

With more than 16,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe.

The University is committed to fostering a culture of belonging, where everyone feels valued and has the opportunity to add value. Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create an environment driven by purpose, excellence, community, and service.

The Clinical Business Operations Representative facilitates the prompt resolution of problems related to pre and post care that arise in daily clinical operations. The incumbent in this position performs general administrative and receptionist functions, to include answering incoming calls, necessary for the complete and efficient management of patients, including the acquisition of necessary patient-care and records. This role will also assist patients in a courteous, efficient and professional manner and ensure adherence to divisional and departmental service standards. This employee will also be responsible for coordinating the day-to-day operations of a clinical team with several faculty members. This will include inpatient and outpatient clinical schedules, conference scheduling and room reservation, and communication with the team to coordinate meetings and update schedules. The employee will also handle vacation requests and schedule changes for the clinical team members.

CORE FUNCTIONS

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. Schedule patient appointments at JMH clinics. Skill in using Cerner electronic medical records to check patient information. Interacts with home health companies and pharmacies to assist in obtaining results and providing requested documentation. Assists in scheduling imaging appointments at JMH facilities. Assists in prior authorization paperwork for specialty medications. Greets visitors and callers, handles their inquiries, and directs them to the appropriate persons according to their needs. Follows patient appointment guidelines pertaining to overbooking. Schedule appointments (i.e. follow-ups, financial assessment, and labs) in timely manner. Call in refills for patients on behalf of doctor(s) when asked to do so. Call patients on a daily basis to remind them about their next day appointment. Call no shows to inquire as to the reason why they did not make the appointment and to make sure they are rescheduled. Cancel and reschedule appointments based on patient and/or doctors request. Adjust clinics for doctors on vacations or days off. Contact patients as directed by the physician/providers when necessary. Prepare doctors clinic census at least 2 business days in advance for assigned physicians. Send labs and appointment dates to case managers as requested. Obtains consent for Medical Records Information upon other facilities request for medical records. Notify medical providers via email and phone of urgent patient matters and follow up promptly. Maintains an accurate clinical record, recording information per hospital policy.Responsible for obtaining lab and X-ray reports and notifying doctors of results. 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.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

  • High school diploma or equivalent
  • Minimum 5 years of relevant experience

Knowledge, Skills and Attitudes:

  • Skill in data entry with minimal errors.
  • Ability to communicate effectively in both oral and written form.
  • Skill in collecting, organizing and analyzing data.
  • Ability to work independently and/or in a collaborative environment.
  • Commitment to the University’s core values.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:

Full time

Employee Type:

Staff

Pay Grade:

c103

 

 

 

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Job No:
Posted: 10/7/2020
Application Due: 1/5/2021
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