Pre Cert/Referral Nurse - part -time

HealthStar; Morristown (TN); On-site; USD 42,000 - 52,000; Full time

Job summary

HealthStar in Morristown, TN seeks a qualified medical office professional to handle pre-certifications, insurance communications, and patient scheduling. The role requires LPN and CCMA credentials, with strong nursing knowledge and patient confidentiality.

Responsibilities include coordinating tests, updating records, and communicating with patients about appointments and lab results. The candidate will support staff and attend meetings as required.

Qualifications

• Experience performing provider referrals - preferred.
• LPN and CCMA required or preferred depending on role.
• HIPAA compliance and patient confidentiality knowledge.

Responsibilities

• Coordinate pre-certifications for procedures and testing.
• Communicate with insurance companies to obtain approvals.
• Answer questions regarding patient appointments and testing.
• Schedule procedures and referrals with dates, times and locations.
• Verify demographics and insurance information in patient records.
• Call patients regarding lab results.
• Maintain daily logs.
• Assist other staff as directed.
• Attend required meetings.

Skills

Nursing principles

Infection control

Medical records

Customer service

Critical thinking

Organization

Teamwork

Education

LPN Degree

CCMA Certification

Job description

Downtown Mall Office
Corporate Office
420 West Morris Blvd
Suite 400A
Morristown, TN 37813, USA

Downtown Mall Office
Corporate Office
420 West Morris Blvd
Suite 400A
Morristown, TN 37813, USA

• Responsible for pre cert requirements for all procedures scheduled by providers.
• Responsible for communicating with insurance companies to obtain approval for all testing.
• Answers questions regarding patient appointments and testing.
• Responsible for communication with patients regarding patient information and education regarding procedure preps.
• Responsible for scheduling procedures and certain medical tests and referral appointments by scheduling dates, times and locations, coordinating and rescheduling as necessary.
• Responsible for scheduling appointments, verifying all necessary information such as demographics and insurance information in the patient medical record or file.
• Responsible for calling patients in regards to lab results.
• Responsible for maintaining daily logs.
• Assists other staff as directed.
• In person regular and punctual attendance.
• Responsible for other job functions as directed.
• Attends meetings as required.

Skills/Abilities:

• Knowledge of nursing principles and protocols and all aspects of medication names and prescribing.
• Knowledge of policies and procedures related to infection control, environmental safety and patient confidentiality as directed by HIPAA standards.
• Knowledge of medical chart reporting and records.
• Knowledge of clinic/medical practice procedures related to all medical operations.
• Must be skilled in customer service and have a pleasant and courteous demeanor while dealing with all patients and callers.
• Must be well organized and detail organized and be able to work independently without much supervision.
• Must have skills in critical thinking, communication, influence and decision making.
• Must have the ability to work cooperatively as a member of office staff and team.

Mental/Physical Requirements:

• Involves standing, walking, bending, grasping, manipulating, and squatting.
• Must be able to use variety of office equipment including phone, PC, fax and medical equipment.
• Must be able to lift up to 50 pounds occasionally.
• Occasional stress from workload.

Qualifications:

Experience performing provider referrals - preferred

Education

LPN Degree

CCMA Certification

License and Requirements:

State Licensed LPN

Certified Clinical Medical Assistant

Qualifications

Skills

Behaviors

:

Motivations

:

Education

Experience

Licenses & Certifications

Required

Cert Clinical Med Asst

Preferred

License Practical Nurse

Equal Opportunity Employer
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