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Precertification Analyst at CoxHealth – Springfield, Missouri

CoxHealth
Springfield, Missouri, 65708, United States
Posted on
Updated on

About This Position

  • 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 in therapy clinical or clerical background, precertification or Medical Assistant preferred but not required.
    • 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

Job Location

Springfield, Missouri, 65708, United States

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