What are the responsibilities and job description for the Precertification Analyst position at CoxHealth?
Summary
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About Us
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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:
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Named one of Modern Healthcare’s Best Places to work five times
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Named one of America’s Greatest Workplaces by Newsweek in 2024.
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Recognized as a Greatest Workplace for Women in both 2023 and 2024.
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Listed as one of the Greatest Workplaces for Diversity in 2024.
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Acknowledged by Forbes as one of the Best Employers for New Grads in 2023.
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Ranked among the Best Employers by State for Missouri.
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Healthcare Innovation's Top Companies to Work for in Healthcare in 2025.
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Benefits
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Medical, Vision, Dental, Retirement Plan with employer match, and many more!
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For a comprehensive list of benefits, please click here: Benefits | CoxHealth
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Job Summary
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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.
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Job Requirements
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Education
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Required: High School Diploma or Equivalent
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Preferred: Medical Assistant Degree
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Experience
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Required: 1 Year VA/TriWest Related Experience
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Preferred: 6 months experience with medical terminology
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Skills
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Strong analytical/problem solving skills.
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Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers.
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Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills.
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Flexibility and ability to work in a multi-tasking environment.
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Ability to understand and interpret insurance benefits
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Ability to understand multiple computer programs and multiple insurance websites.
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Licensure/Certification/Registration
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N/A
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