Precertification Analyst - Cox Health
Springfield, MO
About the Job
Summary
Best in Class Work Environment
5x Modern Healthcare Best Places to work
America’s Greatest Workplaces 2023 – Newsweek
Greatest Workplace for Women 2023, 2024 – Newsweek
Greatest Workplaces for Diversity 2024 – Newsweek
Best Employers for New Grads 2023 – Forbes
Best Employers by State – Missouri – 2023 – Forbes
Benefits
Robust, fully customizable benefits package including Medical/Vision/Dental and more!
No cost eCare visits
Employer-provided mental health services for employees and eligible family members
Retirement with employer match up to 7%
Tuition discounts and reimbursement available for continuing your education
CoxHealth Fitness Center and Child Care discounts
Onsite delivery for CoxHealth Pharmacies and 1906 Employee Store
- Job Summary
- The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations. Interprets patient medical records and reviews cases with the insurance nurse reviewer. Accurately enters information into multiple computer programs and insurance websites.
- Job Requirements
- Education
- Required: High School Diploma or Equivalent
- Preferred: Medical Assistant Degree
- Experience
- Required: 1 Year Related Experience
- Preferred: 6 months experience with medical terminology
- Skills
- Strong analytical/problem solving skills.
- Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers.
- Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills.
- Flexibility and ability to work in a multi-tasking environment.
- Ability to understand and interpret insurance benefits
- Ability to understand multiple computer programs and multiple insurance websites.
- Licensure/Certification/Registration
- N/A