What are the responsibilities and job description for the Pre Cert/Referral Nurse - part -time position at HealthStar Physicians?
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