Clinical Business Operations Representative

Clinical Business Operations Representative 2

The Clinical Business Operations Representative 2 facilitates the prompt resolution of problems related to pre and post care that arise in daily clinical operations.

Location:

Miami, FL

• 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.

• Identify, process, and track procedure peer to peers
• Employee will process medication prior authorizations
• Coordination with physicians for attorney conference calls and/or depositions
• Responsible for the completion of Worker’s Compensation DWC
  25 forms
• Scheduling and coding interventional procedures
• Review of clinical schedules (DAR)
• Create, submit, and follow up with Medication and interventional procedure appeals

• High School Diploma or equivalent/relevant experience, certification or license
• Minimum 1 year of relevant experience required
• 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.

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.

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.

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
• Seniority Level: Entry level
• Employment Type:
  
  Full-time
• Job Function:
  Sales and Business Development
• Industries:
  Higher Education