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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 2 to work in Miami.

The Clinical Business Operations Representative facilitates the prompt resolution of problems related to pre and post care that arise in daily clinical operations. The incumbent in this position performs general administrative and receptionist functions, to include answering incoming calls, efficient management of patients, and the acquisition of necessary patient care and records. This role will also assist patients in a courteous, efficient, and professional manner and ensure adherence to divisional and departmental service standards.

Core Responsibilities:

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  Assists the department in managing expectations surrounding pre and post patient care.

  
  


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  Obtains or reviews all patient demographic information, insurance information and referral numbers.

  
  


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  Reviews clinical records for completeness including authorization, signatures, missing data, and other patient information.

  
  


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  Answers multiple telephones for the department: triage incoming calls, responds to questions, directs calls, and documents messages in the appropriate software.

  
  


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  Greets visitors and callers, handles their inquiries, and directs them to the appropriate persons according to their needs.

  
  


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  Works cooperatively with fellow employees to solve problems and enhance the smooth and efficient flow of the practice.

  
  


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  Provides coverage for responsibilities of co-workers when assigned or as need arises.

  
  


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  Develops and promotes the use of effective methods of communicating with physicians, managers, peers, trainees, and staff on a regular basis.

  
  


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  Maintains confidentiality of all information.

  
  


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  Adheres to University and unit-level policies and procedures and safeguards University assets.

  
  

Department Specific Functions:

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  Supports BCRI 1st and 2nd floor clinics

  
  


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  Facilitates UChart 'in-basket' requests in a timely manner

  
  


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  Confirms patient appointments for corresponding Divisions

  
  


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  Communicates w/ CIV on pending referrals and authorizations for corresponding Divisions

  
  


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  Obtains authorizations for patient medications.

  
  


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  Assist with team reimbursement for corresponding Divisions

  
  


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  Request and follow up on all imaging orders (xray, scans), specialty labs, etc.

  
  


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  Act as backup to coordinate scheduling and all add-on requests

  
  

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:

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  High school diploma or equivalent

  
  


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  Minimum 3 years of relevant experience in a medical billing, medical office, or hospital setting preferred.

  
  


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  Skill in data entry with minimal errors.

  
  


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  Ability to communicate effectively in both oral and written form.

  
  


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  Ability to work evenings, nights, and weekends as necessary.

  
  


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  Skill in collecting, organizing, and analyzing data.

  
  


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

  
  


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  Knowledge of medical terminology preferred.

  
  


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  Able to handle multiple tasks simultaneously.

  
  


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  Commitment to the University's core values.

  
  

Any relevant education, certifications and/or work experience 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.