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Clinical Business Operations Representative 3
The University of Miami/UHealth department of Neurology has exciting opportunity for a Full Time Clinical Business Operations Representative 3 to work in Miami, FL. The Clinical Business Operations Representative 3 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 assists patients in a courteous, efficient and professional manner and ensures adherence to divisional and departmental service standards.
Core Responsibilities
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.
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.
Department Specific Functions
Coordinate and manage patient scheduling for the Epilepsy Monitoring Unit (EMU), Home EEGs, Video EEG admissions and epilepsy clinic appointments, ensuring timely access to care and efficient utilization of resources.
Serve as a primary point of contact for patients and families, providing guidance regarding EMU admissions, Home EEG referral requirements, appointment preparation, and post-visit follow-up expectations.
Obtain, verify, and maintain patient demographic information, insurance coverage, confirm relevant referrals, and authorizations required for epilepsy-related procedures, appointments and testing.
Review clinical records for completeness and accuracy, ensuring all required documentation, physician orders, prior authorizations, and supporting clinical information are in place prior to scheduling services.
Manage a high volume of incoming calls and electronic communications, triaging patient concerns, coordinating care, answering questions related to epilepsy services, and routing messages appropriately.
Collaborate closely with physicians, EEG technologists, nursing staff, inpatient units, and administrative personnel to facilitate seamless coordination of EMU admissions, diagnostic testing, and patient flow.
Monitor scheduling capacity and support efficient management of EMU resources to reduce delays, maximize utilization, and improve patient access.
Provide cross-coverage and operational support to team members during periods of high patient volume, staffing shortages, or increased demand for epilepsy services.
Communicate effectively with providers, trainees, leadership, and staff regarding scheduling priorities, patient care needs, testing requirements, and…