Clinical Business Operations Representative

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Clinical Business Operations Representative 3

The University of Miami/UHealth Department of Surgery has an exciting opportunity for a Full Time, Clinical Business Operations Representative 3 to work in Miami.  

Core Job Summary:

The Clinical Business Operations Representative 3 (H) 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 3 (H) assists patients in a courteous, efficient and professional manner and ensures adherence to divisional and departmental service standards.

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: 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 Functions:  

• Answer incoming telephone calls by the 4th ring.
• Confirm appointments daily
• Call No Shows daily to reschedule their missed appointments
• Work on disposition notes from Workqueue to ensure return to clinic appointments have been made
• Review schedules to confirm appointments are scheduled in the correct slot.  This allows for the new patient slots to be available for new patients.
• Rescheduling patients affected by PLR clinic closures
• Respond to secure chat messages sent by providers, nurses and clinic personnel
• Schedule all patients for appointments with Dr. Kutlu, Dr. Cubas, Jennifer Parra, APRN, Mario Gomez, APRN, Noel Emmanuelli, ND, Margaret Gutierrez, PhD, RD, Alina Miro, RD. Shirley Gazabon, PhD
• Add all patients in Bariatric Surgery journey to “Exemplo”. Add any visits, comments etc. to track the patient’s progress
• Verify with insurances all patients for Bariatric Surgery coverage and Nutrition coverage. This is not done by CIV as not all policies have this coverage.
• Schedule patients for surgery
• Coordinate/schedule Anesthesia clearance, PCP visits, labs, UGIs etc.
• Daily monitoring of patients scheduled
• Work up and schedule patients from the AMB Bariatric Surgery WQ referrals
• Work up and schedule patients from the AMB Metabolic WQ referrals
• Work up CRM requests
• Schedule patients from online appointment requests
• Assigned coordinator meets with the patient on their 1st visit with the surgeon to review the process, obtain signatures, schedule all future appointments.
• The Bariatric Surgery coordinator is the liaison between the patients, providers and clinical team. This requires daily monitoring to ensure patients have had necessary visits, work up etc completed before their Bariatric Surgery
• Provide patients with educational materials, answer patient questions/concerns, as well as ongoing support throughout the Bariatric Surgery journey.
• Work with patients that will use “Care Credit” for payment. Enter in Care Credit site. Work with Patient Access for posting in Epic.

• All self-pay payments are submitted to billing team for proper posting

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 2 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.

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.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

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