Job Description

Clinical Business Operations Representative 1

The University of Miami/UHealth Department of Pediatrics has an exciting opportunity for a full time Clinical Business Operations Representative 1 to work in Miami, FL.

The Clinical Business Operations Representative 1 facilitates the prompt resolution of problems related to pre and post care that arise in daily clinical operations. The incumbent performs general 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 Representative 1 assists patients in a courteous, efficient and professional manner and ensures adherence to divisional and departmental service standards.

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 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:

• Completes administrative tasks associated with clinical operations at the Mailman Center for Child Development including patient scheduling and registration, maintenance of patient waitlists, provider and trainee support, ordering of clinical supplies, patient communication (via mychart messages, phone, and email), and generating of patient estimates.
• Coordinates with Central Insurance Verification (CIV), Central Business Office (CBO), Facilities, Office of Patient Experience (OPX), Patient Access, On Demand Scanning, Information Technology (IT), and Health Information Management (HIM) teams for all clinic and patient needs.
• Maintains UChart referral work queues and Redcap intake packets.
• Provides coverage for other Mailman Center clinical support staff, as needed.
• Reports incidents in a timely manner to appropriate supervisory personnel.
• Performs other duties, as assigned.

Core Qualifications:

• High School Diploma or equivalent/relevant experience, certification or license
• No previous experience required
• 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.

Any relevant education, certifications and/or work experience may be considered.

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

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