Precertification Analyst – Pain Management Clinic

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🔥 0 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

⏰ Full Time

🟢 Junior

🧐 Business Analyst

🚫👨‍🎓 No degree required

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CoxHealth

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1906

👥 B2C

🧘 Wellness

📚 Education

B2C • Wellness • Education

CoxHealth is a regional, not-for-profit integrated health care system serving southwest Missouri, operating hospitals, urgent care centers, clinics, specialty services (including cardiology, cancer care, orthopedics, neurology, and pediatrics), home health, and ancillary services. With hundreds of physicians, extensive outpatient locations, training and residency programs, and community-focused patient resources, CoxHealth provides comprehensive clinical care, patient support services, and health education to individuals and families across the Ozarks.

📋 Description

• 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.

🎯 Requirements

• Required: High School Diploma or Equivalent • Preferred: Medical Assistant Degree • Required: 1 Year Related Experience • Preferred: 6 months experience with medical terminology • 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.

🏖️ Benefits

• Medical • Vision • Dental • Retirement with Employer Match and more (20+ hrs/week)