Referral & Pre-Auth Nurse — Streamlined Scheduling

Healthstar Physicians, P.C.; Morristown (TN); On-site; USD 42,000 - 60,000; Full time

Job summary

Healthstar Physicians, P.C. is seeking a qualified medical office coordinator with LPN and CCMA credentials to support pre-certification, patient scheduling, and insurance approvals in Morristown, TN.

You will coordinate procedures, obtain testing approvals from insurers, verify demographics and insurance data, and communicate with patients about appointments and test preparations. The role requires knowledge of nursing principles, HIPAA-compliant practices, and strong organizational skills.

Qualifications

• Experience performing provider referrals - preferred

Responsibilities

• 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.

Education

LPN Degree

CCMA Certification

State Licensed LPN

Certified Clinical Medical Assistant

Cert Clinical Med Asst

License Practical Nurse

Job description

Healthstar Physicians, P.C. is seeking a qualified medical office coordinator with LPN and CCMA credentials to support pre-certification, patient scheduling, and insurance approvals in Morristown, TN.

You will coordinate procedures, obtain testing approvals from insurers, verify demographics and insurance data, and communicate with patients about appointments and test preparations. The role requires knowledge of nursing principles, HIPAA-compliant practices, and strong organizational skills.