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The University of Miami Health System, "UHealth", Department of Pediatrics- has an exciting opportunity for a Full-Time Clinical Business Operations Representative 3 to work in Miami.

The Clinical Business Operations 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 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: 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:

Responsible for answering phones and appointment scheduling/rescheduling.

Pick up, sort and deliver mail to all members of the Division.

Confirmation of appointments prior to visit date.

Reschedule patients bump list that are not managed by Uconnect.

Responsible for reviewing charts before clinic to ensure all necessary medical documentation is obtained.

Verify insurance; obtain necessary authorizations or referrals and any other information needed for appropriate patient billing. Ensure physician complete billing documentation for each visit.

Confirm and update as needed demographic information in UChart while taking calls/messages.

Process lab orders and prescription refills. Schedule any follow up appointments and necessary testing.

Responsible for triaging all patient calls for Physicians.

Fax clinic notes to PCP.

Responsible for communicating with patient both by phone or mail with physician instructions regarding     follow up appointment and status of authorization for the medication or procedure.

Scanning/uploading of medical records into UChart Media Manager.

Perform other duties as assigned.

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.

Knowledge of Microsoft word, excel and EMR.

Extensive Experience with medical insurances.

Experience with referrals and authorizations of different varieties as well as knowledge of CPT and ICD-10 codes.

Patient service experience dealing with prescription and relaying results authorized by providers.

Conflict resolution skills and communication.

Skills in collecting, organizing, and analyzing data.

Ability to work independently and/or in a collaborative environment.

Commitment to the University’s core values.

Any appropriate combination of relevant education, experience and/or certifications may be considered.

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.

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