Precertification Analyst

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Job Description

  • About Us

  • 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 in 2024.

    • 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 Forbes as one of the Best Employers for New Grads in 2023.

    • Ranked among the Best Employers by State for Missouri.

    • Healthcare Innovation's Top Companies to Work for in Healthcare in 2025.

  • Benefits

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

    • For a comprehensive list of benefits, please click here: Benefits | CoxHealth

  • 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
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Specialties:

  1. Clerical/Administrative Support

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Why CoxHealth?

We are a health system that includes six hospitals with over 80 clinics and 537 physicians serving 24 counties. CoxHealth is Missouri’s first hospital system accredited by DNV Healthcare for quality and patient safety. All six hospitals, as well as our outpatient centers and provider-based clinics, hold this national distinction from DNV’s accreditation program, the National Integrated Accreditation of Healthcare Organizations. The hospital is also the only facility in the region to receive the ANCC Magnet designation, which recognizes excellence in nursing. We are the only local health system named six times to U.S. News & World Report’s Best Regional Hospitals list, and we are recognized by CareChex as among the Top 10 percent of U.S. hospitals for medical excellence and patient safety in overall medical care.