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The Department of Medicine, Division of Rheumatology has an exciting opportunity for a Full-Time Clinical Business Operations Representative 2 to work on the UHealth Campus. The Clinical Business Operations Representative 2 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 2 assists patients in a courteous, efficient and professional manner and ensures adherence to divisional and departmental service standards.
Answer multiple phones lines for the POD: triage incoming calls, responds to questions, directs calls, and documents messages in Epic
Manage Prior Authorization (PA) Requests, inbox, and tracking sheet; enter all PA request in CoverMyMeds (CMM)/ work with pharmacy and patient's insurance plan for approval
Maintain close contact with pharmacies/ patient insurance to achieve faster PA approval
Manage in basket patient calls from UHealth Pharmacy Prior Authorization
Confirm patient appointments i.e. obtain medical records/ recent labs/ x-rays/pertinent information; following confirmation guidelines as needed
Assist in completing clerical portion of FMLA/ parking permit/long term disability document
Check and distributes faxes and emails; upload records in Epic as needed
Route patient prescription refill requests in EPIC to provider for approval, as needed
Responsible for UChart In basket messages: Results notes/ RX Request/ Pt Calls/ Cc Chart and Rx Response assuring all messages are marked for completion on a weekly basis
Obtain referrals to other specialties i.e., radiology/ kidney MRIs
Coordinate CTU patient appointment requests via CTU email, as needed
Coordinate and assist with clinic changes as needed (rescheduling under 45 days; last min clinic changes) in accordance with DoM & UHealth Rescheduled and Cancelled Clinics Policy - PolicyStat ID 10530754
Act as liaison between patient, providers and off-site testing facilities.
Assist in the training and on-boarding on new staff 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.
MINIMUM QUALIFICATIONS
High school diploma or equivalent
Minimum 1 year 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.
Any appropriate combination of relevant education, experience and/or certifications may be considered.
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.
Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.
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.
