Job Description

Facility:

Remote Missouri: 1423 North Jefferson Avenue, Springfield, Missouri, United States of America, 65802

Department:

1672 PAS Financial Clearance Enterprise

Scheduled Weekly Hours:

40

Hours:

9:00 AM - 5:30 PM

Work Shift:

Day Shift (United States of America)
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:


Named one of Modern Healthcare's Best Places to work five times. Named one of America's Greatest Workplaces by Newsweek. Recognized as a Greatest Workplace for Women in both 2023 and 2024. Listed as one of the Greatest Workplaces for Diversity in 2024. Acknowledged by Forbesas one of the Best Employers for New Grads. Ranked among the Best Employers by State for Missouri. Healthcare Innovation'sTop Companies to Work for in Healthcare in 2025.

Benefits

Medical, Vision, Dental, Retirement Plan with employer match, and many more!

:

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