Clinical Business Operations Rep 3 - Gynecology Oncology Division

Core Job 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: triages 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 Job Functions

• Responsible for triaging all patient related calls for physicians assigned and documenting accordingly any pertinent information and instructions given by provider and the consequent actions taken.
• Processes and assists with responding to all patient related requests and UChart In-basket messages for assigned pools/providers.
• Responsible for physician’s schedule to coordinate academic and patient related activities.
• Maintains timely oversight of CRM and authorization/certification work queues, ensuring prompt resolution of items and reducing delays in patient scheduling and care coordination.
• Effectively monitored and managed OR block release processes through Qventus, optimizing scheduling availability and supporting efficient resource utilization.
• Coordinates and ensures receipt of financial and medical clearance for surgery and other duties as assigned.
• Follows UM Decision Tree protocols to ensure accurate scheduling practices, improving workflow consistency and minimizing scheduling errors.
• Follows up on all results for area of responsibility including but not limited to all lab work, pathology, and ancillary testing such as mammograms, ultrasounds, MRIs as directed by providers. Also, follows up on any necessary referrals to specialists, procedures as requested by providers. Submits requests as needed for any authorizations/referrals for these follow up appointments and procedures.

Core Qualifications

• A High School Diploma or equivalent.
• Minimum 2 years of relevant experience required.
• Refer to department description for applicable certification.
• Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.
• Teamwork: Ability to work collaboratively with others and contribute to a team environment.
• Technical Proficiency: Skilled in using office software, technology, and relevant computer applications.
• Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.

Benefits

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