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The Department of Physical Medicine and Rehabilitation is currently seeking a full time Clinical Business Operations Specialist to work in Miami. 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 REPONSIBILITIES

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. 

Provides operational support to the Department Administrator, identifying areas for optimizing efficiencies, and enhancing service to our patients and other stakeholders. 

Collaborates with the Department Administrator and operational leader to respond to leadership requests regarding the clinical mission. 

Responsible for creating, analyzing, and disseminating monthly clinical operational key performance indicator reports.

As part of the analysis process, providing department leadership with strategic initiatives to enhance clinical performance and operational efficiencies. 

Hires, trains, counsels, and terminates support personnel including but not limited to: Approves bi- weekly time documents, Completes yearly performance evaluations. 

Continuously evaluate and improve system processes, ensure that new and current employees attend 

UChart, managed care and other training courses related to practice operations. 

Solves difficult payment and associated business office problems. Audits problem accounts. 

Resolves problems relating to patient financial services. 

Act as liaison for the department with UHealth Connect and Clinic Managers to ensure that the department's requirements pertaining to appointment scheduling and professional billing insurance verification are met. 

Assist faculty members on an as needed basis on front end issues and all their clinical issues. 

Coordinate and supervise daily clinical activities for our clinic locations, which include: 

a. Ensure that the master schedules, appointment scheduling, cancellations and rescheduling of 

all clinics are properly handled per University policy. 

b. Resolve problems encountered by the staff pertaining to UMMG policies and procedures, 

insurance/managed care contracts, referrals, etc. 

c. Aid in setting up clinics for all faculty and for changes. 

Serve in the capacity of Service Ambassador for the Department. Resolve as many issues as possible as they occur and to triage or elevate issues that cannot be personally resolved. Facilitate the needs of our external customers (patients, payers, business associates, etc). 

Responsible for the on-going training and communication of changes in policies and procedures through feedback to staff via regular meetings. Staff include department clinical administrative assistants and clinical business operations representative team members. 

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 3 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.

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.

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