Clinical Business Operations Specialist

About this role

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 The University of Miami/UHealth Department Neurology has an exciting opportunity for a full-time Clinical Business Operations Specialist to work in Miami, FL.The Clinical Business Operations Specialist serves as a lead to Clinical Business Operations Representatives and facilitates the prompt resolution of highly complex problems related to pre and post care that arise in daily clinical operations. The incumbent performs 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 Specialist 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.

• Provides guidance and support to Clinical Business Operations Representatives and assists with training and continuous improvement.

• 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.

Department Specific Functions • The primary function of this position is to provide clinical and administrative support Neurology dept at Boca.

• Answer phones, triage, and follow through on messages and information requests from patients using UChart and other communication channels.

• Ensure CRM’s are handled daily

• Confirmation of patient appointments daily.

• Obtain pre-authorizations for medications and procedures; coordinate medical necessity letters and documentation for patient assistance programs under nurse or physician supervision.

• Coordinate all aspects of patient admissions and outpatient procedures, including treatments and other infusions.

• Collaborate with clinical operations staff to ensure alignment between clinical and academic responsibilities.

• Coordinate and supervise appointments for VIP and international patients.

• Authorize pharmacy refills under physician supervision 9. Sending signed clinic notes as needed to outside physicians.

• Obtaining outside medical records prior to office visit.

• Serve as liaison between office and referring providers

• Answer phones and manage communications with internal and external stakeholders.

• Prepare and manage general and professional correspondence related to academic, research, and clinical work.

• Schedule and coordinate Fellow's schedule

• Coordinate physician coverage of all patients related matters 5.      Copy, fax, and scan documents for distribution, filing, and meetings.

• Schedule and coordinate physicians’ academic calendars, including interviews, meetings, lectures, conferences, and departmental events.

• Submit leave requests and vacation/leave in accordance with departmental and university policies.

• Core_Clinical Business Operations Specialist

• Coordinate travel arrangements for faculty, including hotel and flight bookings, and process travel reimbursements including the research team.

• Support CME presentations and speaking engagements through scheduling and logistics.

• Assist with education and training programs: arrange lectures, distribute educational materials, and coordinate with other training programs.

• Coordinate Stroke Meetings as needed.

• Update and submit renewals for licenses and DEA registrations; manage credentialing, recredentialing, and membership payments.

• Maintain up-to-date physician documentation (CME, board certifications, etc.).

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 3 years of relevant experience

• 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.

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 recogn

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