Pre Cert/Referral Nurse - part -time

Job Description

Job Description

Essential Functions:

• 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.

• Answers telephone, screens calls, retrieves voicemails, returns patient calls.
• 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