Clinical Business Operations Representative 3

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The Department of Otolaryngology is currently seeking a full time Clinical Business Operations Representative 3 to work in Miami, FL. The Clinical Business Operations Representative 3 (H) 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 (H) 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. 

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                                                                                                    

Education:

High school diploma or equivalent

Experience:

Minimum 2 years of relevant experience

Knowledge, Skills, and Attitudes:

• 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.

DEPARTMENT ADDENDUM

Department Specific Functions

• Function as the primary on phones.

• Answer phones and provide patients with the assistance/guidance they seek.

• Scheduling/Rescheduling appointments.

• Managing provider’s bump lists and re-scheduling, with occasional assistance, within 48 hours of receiving the bump list.

• Look at schedules a week prior to check if language interpreters are needed and if so, if they have been requested; if not, request.

• Confirm patient appointments for the next week/next few days.

• Receive and open packages.

• Complete clerical paperwork.

• May provide support for seeking authorizations.

• Respond to all Inbaskets in a timely manner (what is considered timely is defined by the division).

• Confirm appointments with patients regularly.

• Disseminate relevant information and instructions to parents regarding the variety of care visits we offer.

• Obtaining authorizations for appointment types that CIV does not routinely obtain.

• Make critically thought-out judgements related to CHP pra