Precertification Analyst - Cox Health

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 

• 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.

• 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