Clinical Business Operations Representative

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.

The Clinical Business Operations Representative 1 (Hybrid) 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. 

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 required.

• No previous experience required.  One (1) year medical preferred.

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.

DEPARTMENT ADDENDUM

Department Specific Functions

Collaborates with Radiology Central Scheduling department to manage over-booking/under-booking, identify add-on and reschedule exams. Ensure that orders are appropriate to the type of exam recommended by physician.  Notify supervisor of any discrepancies. Contact the physician’s office for correct orders if necessary. Applies physical age-specific and/or developmental care needs of patients according to their documented physical/development requirement by competency validation checklist:

Children

Adolescents

Adults

Geriatric

Challenged/Disabled

Adheres to any regulatory body guidelines governing modality including but not limited to: Joint Commission, AHCA, ACR, FL DOH and FDA/MQSA. Imports/Exports pertinent patient images/documents into PACS and/or UChart. Review future daily scheduled orders for accuracy and prepare supporting documentation, additionally obtain any necessary additional orders. Acts as point of contact for other departments to answer pertinent questions involving appropriate exams ordered, scheduling criteria, add-on studies. Contact patients daily to confirm appointments and provide all appointments and prep instructions. Acts as point of contact for other departments to answer pertinent questions involving appropriate exams ordered, scheduling criteria, add-on studies. Notify on-site insurance verifiers via email of any same day or next day appointments. Inform patient of any pending authorization and deductible requirements on their behalf prior to have the exam performed. Works with the referring physician offices to acquire missing requisitions, obtains orders, if necessary, and to confirm correct clinical information. Coordinating services with other clinical areas. Assists with keeping the imaging area neat, clean, and organized as well as complies with proper disposal of medical supplies. Import/Export pertinent patient documents and images into PACS and/or UChart. Perform general office duties in a timely and accurate fashion. Support the workflow at the UM Imaging counters to import/export digital studies, documents to/from PACS or UChart and process film jacket/CDs requests via telephone, fax and/or in person. Fulfill digital imaging record inquiries via in person, fax, telephone, subpoenas, and legal requests.

May release digital information and/or ensure the availability of records to the patients, physicians and clinical staff for all studies and procedures. Manage document services with records retention vendor. Support the workflow at the counter to receive and process film jacket/CDs requests for the counter and/or ancillary areas via telephone, fax and/or in person.  Ensures a high degree of customer satisfaction by consistently adhering to our DIRECCT values. Assist with the department onboarding and training of staff. Complies with the hospital requirements, Joint Commission for Accreditation of Healthcare Organizations, State requirements and works closely with the HIPAA Privacy Office to ensure HIPAA compliance.

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.

Job Status:

Employee Type: