Clinical Business Operations Rep 3 - Gynecology Oncology Division

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 The University of Miami/UHealth Department of Obstetrician & Gynecologist (OBGYN) has an exciting opportunity for a full-time Clinical Business Operations Representative 3 (H) to work in Miami, FL. 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 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: 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 JOB FUNCTIONS                                                                             

• Responsible for triaging all patient related calls for physicians assigned and documenting accordingly any pertinent information and instructions given by provider and the consequent actions taken. Processes and assists with responding to all patient related requests and UChart In-basket messages for assigned pools/providers.

• Responsible for physician’s schedule to coordinate academic and patient related activities. Monitors clinical schedule for providers to ensure accuracy of number and types of appointments. Review no shows and cancelled appointments as per department policy.

• Follow-up on all results for area of responsibility including but not limited to all lab work, pathology, and ancillary testing such as mammograms, ultrasounds, MRIs as directed by providers. Also, follow up on any necessary referrals to specialists, procedures as requested by providers. Submit requests as needed for any authorizations/referrals for these follow up appointments and procedures.

• Responsible for coordination of all physician surgeries and inpatient admissions according to departmental protocol. Coordinate and ensure receipt of financial and medical clearance for surgery and other duties as assigned.

• Maintain timely oversight of CRM and authorization/certification work queues, ensuring prompt resolution of items and reducing delays in patient scheduling and care coordination.

• Consistently follow UM Decision Tree protocols to ensure accurate scheduling practices, improving workflow consistency and minimizing scheduling errors.

• Effectively monitored and managed OR block release processes through Qventus, optimizing scheduling availability and supporting efficient resource utilization.

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 required

• Refer to department description for applicable certification

• 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 relevant education, certifications and/or work experience may be considered.

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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