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The department of Medicine has an exciting opportunity for a full-time Clinical Business Operations Representative 2 to work onsite at the UHealth campus. The Clinical Business Operations Representative 2 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 2 assists patients in a courteous, efficient and professional manner and ensures adherence to divisional and departmental service standards.

CORE 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

Answer multiple phones lines for the POD: triage incoming calls, responds to questions, directs calls, and documents messages in EpicManage Prior Authorization (PA) Requests, inbox, and tracking sheet; enter all PA request in CoverMyMeds (CMM)/ work with pharmacy and patient's insurance plan for approvalMaintain close contact with pharmacies/ patient insurance to achieve faster PA approvalManage in basket patient calls from UHealth Pharmacy Prior AuthorizationConfirm patient appointments i.e. obtain medical records/ recent labs/ x-rays/pertinent information; following confirmation guidelines as neededAssist in completing clerical portion of FMLA/ parking permit/long term disability documentCheck and distributes faxes and emails; upload records in Epic as neededRoute patient prescription refill requests in EPIC to provider for approval, as neededResponsible for UChart In basket messages: Results notes/ RX Request/ Pt Calls/ Cc Chart and Rx Response assuring all messages are marked for completion on a weekly basisManage e-consult inboxObtain referrals to other specialties i.e., radiology/ kidney MRIsCoordinate CTU patient appointment requests via CTU email, as neededReduce call abandonment rate to <5%Initiate transplant referrals i.e. MTI, Cleveland Clinic, etc.Initiate DaVita new patient startsCoordinate and assist with clinic changes as needed (rescheduling under 45 days; last min clinic changes) in accordance with DoM & UHealth Rescheduled and Cancelled Clinics Policy - PolicyStat ID 10530754Manage escalation requestsAct as liaison between patient and providers i.e. communicate scripted instructions to patient from providerAct as liaison between patient and off-site testing facilities i.e. NateraAssist in the training and on-boarding on new staff membersOther medical/administrative related request (s) as neededProvide coverage for co-workers when assigned or as need arisesOther duties as directed by Sr. Practice Manager or Sr. Dept./Division Administrator

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 equivalentMinimum 1 years of relevant experience

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.

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 - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:

Full time

Employee Type:

Staff

Pay Grade:

H4