Clinical Business Operations 2- HYBRID

Core 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.

Department Specific Functions

• Schedule, confirm, and coordinate patient appointments, testing, and procedures within the division.
• Review and update patient demographics and insurance information during calls.
• Obtain pre-authorizations for Movement Disorders medications and procedures; coordinate medical necessity letters and patient assistance program documentation under nurse/physician supervision.
• Prepare materials for patient visits, including medical records, imaging studies, and reports.
• Welcome patients and callers, address inquiries, and route to appropriate clinical staff.
• Triage and follow up on messages from patients using UChart and other communication systems.
• Manage faxed clinical communications, distribute mail, and respond to internal and external inquiries via phone, email, and electronic systems.
• Coverage for Senior Administrative Assistants as needed.
• Track, process, and submit faculty reimbursements and CME/non-CME expenses in compliance with University policies.
• Aid in credentialing and re-credentialing, maintain provider licenses, DEA, Medicaid/Medicare records.
• Coverage for Senior Administrative Assistants as needed.
• Coordinate with clinical operations staff to align faculty schedules with academic and administrative responsibilities.
• Copy, fax, and scan documents for distribution, filing, and record-keeping.
• Oversee and manage department work queue (WQ) for scheduling and workflow monitoring.

Qualifications

• High school diploma or equivalent
• Minimum 1 year of relevant experience
• Knowledge, Skills, and Attitudes: 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.

Benefits

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