LPN-Central Referral Specialist

• Pre-Certification Responsibilities
• Review scheduled services to determine insurance pre-certification requirements.
• Submit pre-certification requests with required clinical documentation as needed.
• Track authorization status and ensure approvals are obtained prior to service dates.
• Assist pre-certification RN with follow up with insurance carriers on pending requests and resolve issues promptly.
• Inform patients of authorization requirements and any coverage limitations.

Qualifications

• Education
• High school diploma or equivalent required.
• Current, unrestricted Arkansas Licensed Practical Nurse (LPN) license required.
• Basic Life Support (BLS) certification required within 90 days of hire.

• Training and Experience
• Minimum of one (1) year experience in a hospital, physician’s office, or similar healthcare environment required; cardiology experience preferred.
• Proficient use of CPT and ICD-10 codes.
• Experience working with electronic medical record systems and standard computer applications required.

• Knowledge, Skills, and Abilities
• Knowledge of medical terminology required.
• Knowledge of the procedure authorization and its direct impact on revenue cycle.
• Strong verbal and written communication skills with attention to spelling and grammar.
• Ability to manage multiple tasks, prioritize effectively, and adapt to changing workloads.
• Strong organizational skills and attention to detail.
• Ability to work independently with minimal supervision while collaborating effectively with team members.
• Commitment to maintaining patient confidentiality and HIPAA compliance.

• Professional Expectations
• Maintain patient, staff, and organizational confidentiality at all times.
• Demonstrate professionalism and effective communication with patients, providers, and coworkers.
• Report to work fit for duty and free from impairment.
• Maintain a clean and organized workstation and shared work areas.
• Work variable shifts, weekends, or overtime as needed to support clinic operations.
• Perform responsibilities in accordance with organizational policies and procedures.

Physical Demands

This position requires the ability to communicate clearly, operate standard office equipment, remain in a stationary position for extended periods, move independently throughout the clinic, and perform repetitive tasks associated with data entry and telephone communication.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.