Clinical Business Operations Representative 1 (H

Core Job Summary

The Clinical Business Operations Representative 1 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 1 assists patients in a courteous, efficient, and professional manner and ensures adherence to divisional and departmental service standards.

• 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.

• Assist with the coordination of the day‑to‑day providers’ clinical activities within the assigned clinical area/service line.
• Ensures that clinic exam rooms are clean, orderly, and well stocked with necessary supplies.
• Reboots exam room computers and ensures before start of clinic and ensures all applicable software is functioning properly.
• Prints appointment arrivals, verifies testing pre‑ordered by the providers, ensure testing are financially cleared.
• Initiates financial clearance by contacting onsite insurance verifier, international department, worker’s comp department.
• Links arrived appointments to the designated area and updates event log through EMR portal.
• Logs patient time of arrival on Daily Physician Schedule ensuring that all patients are accounted for.
• Assists with starting UChart and Merge software images for providers prior to rooming patient.
• Responsible for rooming patients and ensuring timely exam room turnover.
• Uploads external medical records into EMR via UImaging or Radiant/PACS.
• Provides necessary clinical information and ensures Workers Comp Forms are completed by the provider before end of clinic.
• Orients patients as to next steps in their experience as well as providing way finding information.
• Monitors and facilitates the flow of patients undergoing diagnostic procedures, treatments and/or consultations in other areas/departments within the hospital.
• Frequently rounds on patients and communicates expected wait time and/or reasons for delays.
• Distributes snacks to patients when applicable.
• Provides service recovery as soon as a service breakdown is identified and/or escalates accordingly.
• Utilizes CICare standards to communicate effectively with internal and external customers.
• Links available orders to scheduled ancillary testing appointments and arrives appointments accordingly.
• Schedules appointments for add‑on ancillary testing as per orders entered in clinic by faculty.
• Updates event log through UChart EMR portal to ensure patient displays in correct service area.
• Completes patient access functions as rapidly as possible (without compromising quality or service level) in order to minimize the time patients must wait for treatment to begin.
• Prints Advanced Beneficiary Notice (ABN) when applicable, educates patient and secures sign off from patient. Scans ABN form in EMR.
• Check discharge/Check‑out orders and coordinate the prompt scheduling of any and all follow‑up appointment(s)/procedure(s), diagnostic or ancillary…