Job description

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 University of Miami/UHealth Department of Obstetrician & Gynecologist (OBGYN)has an exciting opportunity for a full-time Clinical Business Operations Representative 3. Clinical Business Operations Representative 3 Representative 3 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 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 JOB FUNCTIONS • Coordinate multidisciplinary care plans involving Gynecologic Oncology providers, surgical services, infusion services, radiation oncology, imaging, pathology, and ancillary departments. • Facilitate, as needed, the timely acquisition and review of outside medical records, pathology reports, imaging studies, and operative reports to support new patient consultations and treatment planning. • Coordinate scheduling of surgeries and procedures across University of Miami Health System and Jackson Memorial Hospital facilities, ensuring required documentation, consents, authorizations, and pre-operative testing are completed. • Obtain and manage prior authorizations for surgical procedures as required. • Coordinate peer-to-peer reviews and appeals for denied services to minimize delays in patient care. • Review, maintain, and optimize physician and APRN scheduling templates in accordance with departmental access standards and provider availability. • Document and manage patient care coordination activities within Epic and other approved communication platforms. • Collaborate with clinical and operational leadership to identify workflow improvements and support department quality initiatives. 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/relevant experience, certification or license • Refer to department description for applicable certification requirements • Minimum 2 years of relevant 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 appropriate combination of relevant education, experience and/or certifications may be considered. #LI-NN1 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: Full time Employee Type: Staff

Requirements

Must-haves

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.
Coordinate multidisciplinary care plans involving Gynecologic Oncology providers, surgical services, infusion services, radiation oncology, imaging, pathology, and ancillary departments.
Facilitate, as needed, the timely acquisition and review of outside medical records, pathology reports, imaging studies, and operative reports to support new patient consultations and treatment planning.
Obtain and manage prior authorizations for surgical procedures as required.
Coordinate peer-to-peer reviews and appeals for denied services to minimize delays in patient care.
Review, maintain, and optimize physician and APRN scheduling templates in accordance with departmental access standards and provider availability.
Document and manage patient care coordination activities within Epic and other approved communication platforms.
Collaborate with clinical and operational leadership to identify workflow improvements and support department quality initiatives.
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.
High School Diploma or equivalent/relevant experience, certification or license
Refer to department description for applicable certification requirements
Minimum 2 years of relevant 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.
Any appropriate combination of relevant education, experience and/or certifications may be considered.

Nice-to-haves

None flagged.

Application prep

Use the role’s language and application details while tailoring your materials.

Platform: phenom
Effort: medium

Benefits

Benefits detected in the listing.

Dental

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