Clinical Business Operations Representative (Remote/ Hybrid)

University of Miami/UHealth Department of Obstetrician & Gynecologist (OBGYN) has an exciting opportunity for a full-time Clinical Business Operations Representative in Miami, FL.

About the role

The Clinical Business Operations Representative facilitates the prompt resolution of problems related to pre and post care that arise in daily clinical operations. This role performs general administrative and receptionist functions, assists patients in a courteous, efficient, and professional manner, and ensures adherence to divisional and departmental service standards.

Responsibilities

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: 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 persons 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

• Responsible for triaging all patient-related calls for physicians assigned and documenting pertinent information and instructions given by provider and 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.
• Monitors clinical schedule for providers to ensure accuracy of number and types of appointments.
• Reviews no shows and cancelled appointments as per department policy.
• Follow-up on all results for area of responsibility including lab work, pathology, and ancillary testing such as mammograms, ultrasounds, MRIs as directed by providers.
• Follow-up on any necessary referrals to specialists and procedures as requested by providers.
• Submit requests as needed for any authorizations/referrals for follow-up appointments and procedures.

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.
• Excellent customer service skills.
• Strong written and oral communication skills.
• Knowledge of medical terminology.
• Able to handle multiple tasks simultaneously.

Qualifications

Education Requirements: High School Diploma or equivalent.

Work Experience Requirements: Three (3) years of relevant experience including patient telephone and/or face-to-face contact (or customer service) in a high-volume medical office or hospital setting. Any appropriate combination of relevant education, experience, and/or certifications may be considered.

Benefits

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