Precertification Analyst - Surgery

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, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group. 

• Acknowledged by Forbes as one of the Best Employers for New Grads.

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

 

Benefits

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

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

Job 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. 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